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Individual
KEITH ALLEN BOHANNON
Active
Individual
KEITH ALLEN BOHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
232468
AR
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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