MR. KENYON JAMES BOTT APRN
NPI 1790071033
Nurse Practitioner - Psychiatric/Mental Health in Hyrum, UT

Active since June 24, 2011

NPPES record last updated: June 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kenyon James Bott Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENYON JAMES BOTT APRN (NPI 1790071033) is an individual psychiatric/mental health provider in Hyrum, Utah, licensed in Utah (376170-4408) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1790071033
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. KENYON JAMES BOTTCredential: APRN
Location Address133 N 500 WHyrum, UT 84319-1080
Mailing Address133 N 500 WHyrum, UT 84319-1080 · (435) 245-3443
Sole ProprietorYes
Enumeration DateJune 24, 2011
NPI 1790071033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in UT · 376170-4408
133 N 500 W, Hyrum, UT 84319

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenyon Bott's NPI number?

The NPI number for Kenyon Bott is 1790071033. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Where is Kenyon Bott located?

Kenyon Bott practices at 133 N 500 W, Hyrum, UT 84319. The listed phone number is (435) 245-3443.

What is Kenyon Bott's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kenyon Bott was last updated on June 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.