Provider Demographics
NPI:1306539127
Name:BOHR, KAREN JANE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:JANE
Last Name:BOHR
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8022 DARKWOOD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-3061
Mailing Address - Country:US
Mailing Address - Phone:210-504-9287
Mailing Address - Fax:
Practice Address - Street 1:8022 DARKWOOD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-3061
Practice Address - Country:US
Practice Address - Phone:210-504-9287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX510743174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN