| Doctor Name: | KEVIN BENTCH |
| NPI Number: | 1033464557 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | STUDENT |
| License Number: | |
| Business Practice Address: | 121 S 4th St Thermopolis, WY - 824432634 |
| Business Phone Number: | 3078643138 |
| Business Fax Number: | 3078643139 |
| Mailing Address: | 619 Obie Sue Ave, WORLAND |
| State: | WY |
| Postal Code: | 824013904 |
| Phone Number: | 3074310123 |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2012 |
| NPI Last Update Date: | 07/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |