Provider Demographics
NPI:1659454486
Name:BOHKS, KATHRYN LYNNETTE (DC)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:LYNNETTE
Last Name:BOHKS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 15TH ST SOUTH
Mailing Address - Street 2:SUITE C
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405
Mailing Address - Country:US
Mailing Address - Phone:406-771-1222
Mailing Address - Fax:406-771-1225
Practice Address - Street 1:222 15TH ST SOUTH
Practice Address - Street 2:SUITE C
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405
Practice Address - Country:US
Practice Address - Phone:406-771-1222
Practice Address - Fax:406-771-1225
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3050111N00000X
MT5598111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO44573Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER