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Contact Information

KATHLEEN S BOHANON, MD
4090 STONEBRIDGE PT
COLORADO SPRINGS, CO80904-4704
 Phone: 719-685-0585
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KATHLEEN S BOHANON · (Female)

NPI # 1669479705
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 38505
  • OH License # 35042157B
  • CO Medicaid 92524354
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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