# MR. PERRY KENT BOHANON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467437178
- **Gender:** Man
- **Credential:** MSN, APRN, BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3002807 | KY | Yes |
| 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

- **Enumeration date:** 12/14/2005
- **Last updated:** 11/17/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0154352 | — | OH |
| 05 | — | 201331790 | — | IN |