Individual
KATHLEEN D. BOHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01049000A
IN
208000000X
Pediatrics Physician
Primary
01049000A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000200308
ANTHEM
IN
01
—
00002092719 02
UNITED HEALTHCARE
—
01
—
12182
PHYSICIANS HEALTH PLAN
IN
05
—
200342340
—
IN
01
—
3937240021
MEDICARE DMEPOS
IN
01
—
3937240024
MEDICARE DMEPOS
IN
01
—
7762243
AETNA
—
Enumeration date
12/05/2005
Last updated
11/15/2022
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