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Individual

KOHL KIMOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
475 RIVERVIEW BLVD, SPRINGFIELD, OR 97477-3869
(702) 234-0489
Mailing address
1856 E VINE ST, MURRAY, UT 84121-2156

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10056381
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10357449-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP70097585
WA

Other

Enumeration date
01/22/2026
Last updated
03/02/2026
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