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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669479705 | NPPES |
| Colorado | MEDICAID | 92524354 |
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