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Individual

MR. PERRY KENT BOHANON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSN, APRN, BC

Contact information

Practice address
334 THOMAS MORE PARKWAY, EDGEWOOD, KY 41017-3464
(859) 301-5901
(859) 301-5940
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-5901
(859) 301-5940

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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