Individual
KYLIE BEVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1165 E 300 N, PROVO, UT 84606-3539
(801) 373-4765
Mailing address
566 N 400 E, APT 5, PROVO, UT 84606-7517
(612) 799-9627
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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