Individual
KEVIN COTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3556 W 9800 S, SUITE 101, SOUTH JORDAN, UT 84095-3211
(801) 567-9780
(801) 567-9826
Mailing address
3556 W 9800 S, SUITE 101, SOUTH JORDAN, UT 84095-3211
(801) 567-9780
(801) 567-9826
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3289814405
UT
Other
Enumeration date
05/23/2007
Last updated
12/20/2016
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