Dr Kathleen Sue Bohanon, MD - Pediatrics in Colorado Springs, CO

Dr Kathleen Sue Bohanon, MD is a Pediatrics - Neonatal-perinatal Medicine physician based in Colorado Springs, Colorado. Dr Kathleen Sue Bohanon is licensed to practice in Colorado (license number 38505) and her current practice location is 4090 Stonebridge Pt, Colorado Springs, Colorado. She can be reached at her office (for appointments etc.) via phone at (719) 685-0585.

NPI number for Dr Kathleen Sue Bohanon is 1669479705 and her current mailing address is 4090 Stonebridge Pt, Colorado Springs, Colorado. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669479705.

Contact Information

Dr Kathleen Sue Bohanon, MD
4090 Stonebridge Pt,
Colorado Springs, CO 80904-4704
(719) 685-0585
Not Available

Map and Direction




Physician's Profile

Full NameDr Kathleen Sue Bohanon
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location4090 Stonebridge Pt, Colorado Springs, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669479705
  • Provider Enumeration Date: 07/05/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Kathleen Sue Bohanon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669479705NPI-NPPES
92524354MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 38505 (Colorado)Primary
2080N0001XPediatrics - Neonatal-perinatal Medicine 35042157B (Ohio)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathleen Sue Bohanon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kathleen Sue Bohanon, MD
4090 Stonebridge Pt,
Colorado Springs, CO 80904-4704

Ph: (719) 685-0585
Dr Kathleen Sue Bohanon, MD
4090 Stonebridge Pt,
Colorado Springs, CO 80904-4704

Ph: (719) 685-0585

Reviews and Comments


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