Healthcare Provider Details

I. General information

NPI: 1518166123
Provider Name (Legal Business Name): KAREN BOHEEN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 07/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2132 N 1700 W STE 300
LAYTON UT
84041-7077
US

IV. Provider business mailing address

2132 N 1700 W STE 300
LAYTON UT
84041-7077
US

V. Phone/Fax

Practice location:
  • Phone: 801-728-0600
  • Fax: 801-728-0606
Mailing address:
  • Phone: 801-728-0600
  • Fax: 801-728-0606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KAREN BOHEEN
Title or Position: OB/GYN
Credential: D.O
Phone: 801-728-0600