Individual
KYLIE BETHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 S 3600 E, HEBER CITY, UT 84032-3512
(801) 870-1413
Mailing address
1525 S 3600 E, HEBER CITY, UT 84032-3512
(801) 870-1413
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
12865571-3102
UT
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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