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NPI Code Detail

MEDICARE: DR. RALPH RAINER BOHN D.P.M.

MEDICARE: DR. RALPH RAINER BOHN D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristKY175KY
2213ES0131XFoot Surgery PodiatristKY175KY

General Provider Information

NPI Number : 1548236946
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RALPH RAINER BOHN D.P.M.
Provider Business Mailing Address
First Line : 12017 BROOKMOOR DR
Second Line :
City : LOUISVILLE
State : KY
Zip : 40243-2051
Country : US
Telephone Number : 502-244-0705
Fax Number : 502-244-3247
Provider Business Practice Location Address
First Line : 1736 DIXIE HWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40210-2311
Country : US
Telephone Number : 502-774-3133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 09/11/2025

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