Bohanon, Kathleen Sue

Bohanon, Kathleen Sue is an individual health care provider with primary practice located at 4090 Stonebridge Pt , Colorado Springs CO 80904-4704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Bohanon, Kathleen Sue can be contacted via phone (719) 685-0585.

Contact Information

Primary practice address
4090 Stonebridge Pt Colorado Springs CO 80904-4704
Phone: (719) 685-0585
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 38505 Colorado
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 35042157B Ohio

Profile Details

NPI number 1669479705
LBN Legal business name Bohanon, Kathleen Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669479705 NPPES
Colorado MEDICAID 92524354

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