Dr. Kathleen Sue Bohanon
MD | Pediatric Neonatal-Perinatal Medicine | Female
Dr. Kathleen Sue Bohanon, MD is a Colorado Springs, Colorado based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Kathleen Sue Bohanon is
4090 Stonebridge Pt, Colorado Springs, Colorado - 80904-4704. She can be contacted on phone at
719-685-0585.
Dr. Kathleen Sue Bohanon is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kathleen Sue Bohanon is
1669479705 which was assigned by NPPES on 05 Jul, 2005 and it was last updated on 08 Jul, 2007.
Dr. Kathleen Sue Bohanon license number is
38505 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Colorado.
Dr. Kathleen Sue Bohanon is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Kathleen Sue Bohanon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Kathleen Sue Bohanon |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Kathleen Sue Bohanon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4090 Stonebridge Pt
Colorado Springs, CO, 80904-4704
United States |
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| Phone Number : | 719-685-0585 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669479705 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Jul, 2005 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kathleen Sue Bohanon are as mentioned. Primary taxonomy code for Dr. Kathleen Sue Bohanon, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 35042157B | OH |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 38505 | CO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kathleen Sue Bohanon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 92524354 | MEDICAID | CO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4090 Stonebridge Pt
Colorado Springs, CO, 80904-4704
United States |
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| Phone Number : | 719-685-0585 |
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Business Location:
Patients can refer following map for directions to
Dr. Kathleen Sue Bohanon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.