Healthcare Provider Details

I. General information

NPI: 1497484190
Provider Name (Legal Business Name): BRILEY BOHON MS, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRILEY KLOVER MS, LAT, ATC

II. Dates (important events)

Enumeration Date: 06/08/2022
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N CEDAR ST
ABILENE KS
67410-2060
US

IV. Provider business mailing address

6102 E SCHILLING RD
SALINA KS
67401-9178
US

V. Phone/Fax

Practice location:
  • Phone: 785-263-1260
  • Fax: 785-263-3327
Mailing address:
  • Phone: 405-227-1865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number24-01845
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: