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

Individual provider Certified Registered Nurse Anesthetist · NPI 1275021891

Kevin Douglas Bohannon, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Memphis, Tennessee. Qualified in 2018, 8 years ago. Practices with Low Country Anesthesia, PA, a 63-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Licensed in
TN
In the registry since
2018
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1068 Cresthaven Rd Ste 150
Memphis, TN 38119-3859
Phone: (901) 682-6828
Fax: (901) 682-9316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 24548 (TN)

Record details

NPI number1275021891
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 30, 2018
Last updated in NPPESAugust 1, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Low Country Anesthesia, Pa — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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