Individual
MR. KEVIN SCOTT MOCHIZUKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D. D.ABNM
Contact information
Practice address
428 S DOUGLAS ST APT 1, SALT LAKE CITY, UT 84102
(435) 414-0128
(951) 742-4609
Mailing address
428 S DOUGLAS ST APT 1, SALT LAKE CITY, UT 84102-3231
(435) 414-0128
(951) 742-4609
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
4971390-4101
UT
2084N0600X
Clinical Neurophysiology Physician
AU2231
CA
231H00000X
Audiologist
Primary
4971390-4101
UT
231H00000X
Audiologist
AU2231
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871679787
—
MN
05
—
1871679787
—
SD
05
—
300015765
—
IN
Enumeration date
10/31/2006
Last updated
02/12/2026
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