# VIENNA HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831141837
- **Authorized official:** KIMBERLY DENIESE BOHLMANN M.D. (PHYSICAN)
- **Authorized official phone:** (573) 422-3636

## Contact information

- **Practice address:** 606 HIGHWAY 63 S, VIENNA, MO 65582-8101
- **Practice address phone:** (573) 422-3636
- **Practice address fax:** (573) 422-3434
- **Mailing address:** PO BOX 715, VIENNA, MO 65582-0715
- **Mailing address phone:** (573) 422-3636
- **Mailing address fax:** (573) 422-3434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2006002908 | MO | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 08/22/2020