Bohanon, Kristi Robin
Bohanon, Kristi Robin is an individual health care provider with primary practice located at 4135 Dixie Hwy , Elsmere KY 41018-1815. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bohanon, Kristi Robin can be contacted via phone (833) 510-4357.Contact Information
Primary practice address
4135 Dixie Hwy
Elsmere KY 41018-1815
Phone: (833) 510-4357
Fax: (866) 460-2997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0383 | Kentucky |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 308609 | Kentucky |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 103411 | Kentucky |
Profile Details
| NPI number | 1598196123 |
|---|---|
| LBN Legal business name | Bohanon, Kristi Robin |
| Credentials | LPCC-S, NBCC, QMPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2013 |
| Last updated | Jan 24th, 2022 - about 4 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 | 1598196123 | NPPES |
| Kentucky | MEDICAID | 7100393920 |
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