Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kerry Bohan

Individual provider Athletic Trainer · NPI 1780345876

Kerry Bohan is an Athletic Trainer in Plainview, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

255 Executive Dr Ste LL105
Plainview, NY 11803-1718
Phone: (516) 576-2040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1780345876
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 1, 2022
Last updated in NPPESJanuary 1, 2022
Certification dateDecember 19, 2021
Mailing address120 Old South Plank Rd, Newburgh, NY 12550-2631

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