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Individual

KEITH ALLEN BOHANNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
2707 SE G ST, BENTONVILLE, AR 72712-3740
(479) 367-2552
(479) 367-2584
Mailing address
2707 SE G ST, BENTONVILLE, AR 72712-3740
(479) 367-2552
(479) 367-2584

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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