Individual
KYLE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1062 S BOWERY WAY, MAPLETON, UT 84664-4460
(208) 243-4711
Mailing address
1062 S BOWERY WAY, MAPLETON, UT 84664-4460
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NA
UT
Other
Enumeration date
10/11/2025
Last updated
10/11/2025
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