Search › Arizona › 152W00000X
Kyle Bothwell
NPI 1912638115 · on the registry since 2022
Practice
- Address
- 1240 W Southern Ave Ste 101
Mesa, AZ 85202 - Phone
- (480) 655-0741
- Organisation at this address
- Nationwide Optometry P.C.
Nationwide Optometry P.C.
Mesa Kidtastic Dental LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152WP0200X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona