Individual
TRENT KENWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
230 N 1680 E STE N, ST GEORGE, UT 84790-2579
(435) 680-3376
Mailing address
230 N 1680 E STE N, ST GEORGE, UT 84790-2579
(435) 680-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
7858417-4405
UT
363LF0000X
Family Nurse Practitioner
7858417-4405
UT
Other
Enumeration date
10/13/2018
Last updated
03/19/2025
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