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Individual
MR. PERRY KENT BOHANON
Active
Individual
MR. PERRY KENT BOHANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002807
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3002807
KY
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
3002807
KY
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
3002807
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154352
—
OH
05
—
201331790
—
IN
Enumeration date
12/14/2005
Last updated
11/17/2022
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