Individual
KYLE JAMES BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16200 19 MILE RD, CLINTON TOWNSHIP, MI 48038-1103
(586) 276-8000
Mailing address
16200 19 MILE RD, CLINTON TOWNSHIP, MI 48038-1103
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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