Individual
KYLE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4408 E PONY EXPRESS PKWY STE A, EAGLE MOUNTAIN, UT 84005-5564
(801) 702-8180
Mailing address
4408 E PONY EXPRESS PKWY STE A, EAGLE MOUNTAIN, UT 84005-5564
(801) 702-8180
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
152W00000X
Optometrist
Primary
14287722-9934
UT
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/12/2021
Last updated
05/18/2026
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