NPI
Kendra Lynn Bohannon
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- DC
- Type
- Individual
- Enumeration date
- 2018-05-06
- Last updated
- 2018-05-06
Specialties
Licenses
- License MN
- 6506
Location
- Practice location
- 15170 Chippendale Ave W Ste 200
- City
- Rosemount MN
- Postal code
- 55068-2769
- Phone
- (651) 423-2900
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Rosemount, MN. 422 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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