Individual
DEZMON BOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
460 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(502) 919-5392
Mailing address
102 SOUTHVIEW TER, LOUISVILLE, KY 40214-4220
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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