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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. HENRY CABOT LODGE BOHLER JR., M.D.

Active Sole Proprietor

DR. HENRY CABOT LODGE BOHLER JR., M.D. is a Obesity Medicine (OB/GYN) healthcare provider located in PROSPECT, Kentucky. NPI 1366475568 is currently active in the NPPES registry. Verify at CMS.

Obesity Medicine (OB/GYN) · PROSPECT, KY

Registration Details

NPI Number
1366475568
Provider Type
Individual
Gender
Male
NPI Issued
Jul 9, 2006 (20.121833982596 yrs)
Last Updated
Jan 7, 2025
Licenses
38316 (KY)
38316 (KY)
38316 (KY)
Sole Proprietor
Yes

Practice Information

Address
9412 CIVIC WAY APT 210
PROSPECT, KY, 400595103
Browse KY providers · Browse ZIP 40059
Phone
5023730110
Primary Specialty
Obesity Medicine (OB/GYN)
207VB0002X
Additional Specialty
Reproductive Endocrinology
Additional Specialty
Obesity Medicine (OB/GYN)
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.