Bothwell, Kyle Scott
Bothwell, Kyle Scott is an individual health care provider with primary practice located at 1240 W Southern Ave Ste 101 , Mesa AZ 85202-4882. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Bothwell, Kyle Scott can be contacted via phone (480) 655-0741.Contact Information
Primary practice address
1240 W Southern Ave Ste 101
Mesa AZ 85202-4882
Phone: (480) 655-0741
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 002585 | Arizona |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002585 | Arizona |
Profile Details
| NPI number | 1912638115 |
|---|---|
| LBN Legal business name | Bothwell, Kyle Scott |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2022 |
| Last updated | Jun 20th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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