| Doctor Name: | KEVIN V KNUTSON |
| NPI Number: | 1326254731 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCMHC, NCC |
| License Number: | 310195-6004 |
| Business Practice Address: | 1018 E Oakhill Dr Alpine, UT - 840041733 |
| Business Phone Number: | 8774154060 |
| Business Fax Number: | |
| Mailing Address: | Po Box 247, LOA |
| State: | UT |
| Postal Code: | 847470247 |
| Phone Number: | 4352017317 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 03/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 310195-6004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |