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Contact Information

TODD BOHANNON, MD
503 GEORGE MCCLAIN DR
BENTON, KY42025-1331
 Phone: 270-527-8144
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TODD BOHANNON · (Male)

NPI # 1740381276
Status Active
Credentials MD
Entity Individual
Enumeration date 09/26/2006
Last updated 01/18/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 33599
  • KY Medicaid 64005317
  • KY Other 000000056871 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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