Kathryn Sue Bohn in Bloomington - Phlebology

Kathryn Sue Bohn - NPI 1194751156

Kathryn Sue Bohn is a Phlebology in Bloomington, Illinois. Kathryn Sue Bohn practices all healthcare services and medical treatments related to Phlebology. The NPI Number for Kathryn Sue Bohn is 1194751156. The last update date is 2014-03-25.

Kathryn Sue Bohn's current location address is 3302 Gerig Dr, Bloomington, Illinois. You can contact this provider via phone number 3098624000 and fax number 3098624055. The mailing address for Kathryn Sue Bohn is 3302 Gerig Dr, Bloomington, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathryn Sue Bohn
Address 3302 Gerig Dr, Bloomington, Illinois
Phone Number 3098624000
Fax Number 3098624055
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1194751156
Provider Enumeration Date 2006-06-23
Last Updated Date 2014-03-25

Provider Mailing Address Detail

Address 3302 Gerig Dr
City Bloomington
State Illinois (IL)
Post Code 617046365
Phone Number 3098624000
Fax Number 3098624055

Provider's Primary Taxonomy Detail

Speciality Phlebology
Taxonomy 202K00000X
Licence No 36071833
Definition:
Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and o

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
036071833-1 IL --
5721369 IL BC/BS

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FAQs about Kathryn Sue Bohn

What is the unique identification code assigned to Kathryn Sue Bohn by the Centers for Medicare & Medicaid Services?

The Kathryn Sue Bohn has been issued the NPI (National Provider Identifier) 1194751156. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Kathryn Sue Bohn?

The Kathryn Sue Bohn is physically situated at 3302 Gerig Dr, in the city of Bloomington, state of IL, with the postal code 617046365.

What is Kathryn Sue Bohn's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kathryn Sue Bohn's specialized field of practice is Phlebology, and the corresponding taxonomy code that categorizes this area of specialization is 202K00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1194751156 to Kathryn Sue Bohn?

The Centers for Medicare & Medicaid Services originally issued the 1194751156 to Kathryn Sue Bohn on 2006-06-23.

As of what date was the information regarding Kathryn Sue Bohn, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kathryn Sue Bohn, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-03-25.

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