Individual
MR. KEVIN SCOTT BOHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
724 W FRANKLIN ST, JACKSON, MI 49201-2008
(517) 784-3100
(517) 784-3200
Mailing address
724 W FRANKLIN ST, JACKSON, MI 49201-2008
(517) 784-3100
(517) 784-3200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002341
MI
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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