Individual
DR. CARL DOUGLAS BOHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1425 E CENTRAL, EL DORADO, KS 67042-2222
(316) 321-1667
(316) 321-1762
Mailing address
1425 E CENTRAL, EL DORADO, KS 67042-2222
(316) 321-1667
(316) 321-1762
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0103679
KS
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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