Laura Bohne

Individual provider Active NPI Community Health Worker · Tonganoxie, KS

NPI 1104124197 · NPPES record last updated Mar 1, 2011

Key facts

NPI
1104124197
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
304 West St
Tonganoxie, KS 66086-9714
Phone
(913) 417-7061
NPI assigned
Mar 1, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

304 West St
Tonganoxie, KS 66086-9714

Mailing address

PO Box 252
Tonganoxie, KS 66086-0252
Phone (913) 417-7061

Other providers in Tonganoxie, KS

All providers in Tonganoxie, KS · Community Health Worker in Kansas

Sources for this page

Verify at the official NPI Registry.