Individual
DR. HENRY CABOT LODGE BOHLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9412 CIVIC WAY APT 210, PROSPECT, KY 40059-5103
(502) 373-0110
Mailing address
9412 CIVIC WAY APT 210, PROSPECT, KY 40059-5103
(502) 444-5767
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
38316
KY
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
Primary
38316
KY
207VE0102X
Reproductive Endocrinology Physician
38316
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200463200
—
IN
05
—
64924855
—
KY
Enumeration date
07/09/2006
Last updated
01/07/2025
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