Bohn, Kerilyn Krake

Bohn, Kerilyn Krake is an individual health care provider with primary practice located at 1607 Rubble Rd , Waverly IA 50677-4383. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bohn, Kerilyn Krake can be contacted via phone (319) 230-8375.

Contact Information

Primary practice address
1607 Rubble Rd Waverly IA 50677-4383
Phone: (319) 230-8375
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9101709 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9101709 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 098740 Iowa

Profile Details

NPI number 1720190127
LBN Legal business name Bohn, Kerilyn Krake
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 19th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720190127 NPPES
Florida MEDICAID 001536600

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