Individual
KATHLEEN M. BOHNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1701 PHILLIPS CIR, GILLETTE, WY 82718-6717
(307) 685-0676
Mailing address
803 VIVIAN CT, GILLETTE, WY 82718-6100
(701) 400-6190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
23390
WY
163W00000X
Registered Nurse
R21677
ND
Other
Enumeration date
08/17/2008
Last updated
08/17/2008
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