Individual
KEVIN DALE NEWBOLD
Active
Individual
KEVIN DALE NEWBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
8984745-4405
UT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
8984745-4405
UT
363L00000X
Nurse Practitioner
8984745-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
8984745-4405
UT
363LP2300X
Primary Care Nurse Practitioner
8984745-4405
UT
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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