Provider Demographics
NPI:1518166123
Name:KAREN BOHEEN PC
Entity Type:Organization
Organization Name:KAREN BOHEEN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OB/GYN
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHEEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:801-728-0600
Mailing Address - Street 1:2132 N 1700 W STE 300
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-7077
Mailing Address - Country:US
Mailing Address - Phone:801-728-0600
Mailing Address - Fax:801-728-0606
Practice Address - Street 1:2132 N 1700 W STE 300
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-7077
Practice Address - Country:US
Practice Address - Phone:801-728-0600
Practice Address - Fax:801-728-0606
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KAREN BOHEEN PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty