Individual
KEVIN JOSEPH BOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7879
Mailing address
1766 PISTACIA CT, FAIRFIELD, CA 94533-8831
(608) 658-9142
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
97098-030
WI
Other
Enumeration date
01/18/2007
Last updated
11/03/2011
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