Individual
MRS. KAREN L BOHATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1911 N WEBB RD, WICHITA, KS 67206-3405
(316) 682-7546
(316) 682-7554
Mailing address
1911 N WEBB RD, WICHITA, KS 67206-3405
(316) 682-7546
(316) 682-7554
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15-00770
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100407240A
—
KS
Enumeration date
08/02/2005
Last updated
06/30/2021
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