Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH ALLEN BOHANNON, APRN
Active Sole ProprietorKEITH ALLEN BOHANNON, APRN is a Psychiatric/Mental Health, Geropsychiatric CNS healthcare provider located in BENTONVILLE, Arkansas. NPI 1295527596 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Geropsychiatric CNS · BENTONVILLE, AR
Registration Details
- NPI Number
- 1295527596
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2025 (1.2743843512669 yrs)
- Last Updated
- May 21, 2025
- License
-
232468 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2707 SE G STBENTONVILLE, AR, 727123740Browse AR providers · Browse ZIP 72712
- Phone
- 4793672552
- Fax
- 4793672584
- Primary Specialty
-
Psychiatric/Mental Health, Geropsychiatric CNS
364SP0809X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.