KENDRA LYNN BOHANNON (DC) – Chiropractor, NPI 1861981748

KENDRA LYNN BOHANNON (DC) is a healthcare provider. based in Rosemount, Minnesota. specializing in Chiropractor. They hold the professional credentials DC. They hold a License No. 6506 (MN). The NPI Number for KENDRA LYNN BOHANNON (DC) is 1861981748

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA LYNN BOHANNON (DC)
NPI
1861981748
Phone
(651) 423-2900
Address
15170 CHIPPENDALE AVE W STE 200
Enumeration Date
6 May 2018
Last Update Date
6 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514232900
Graduation Year
2018 (8 years ago)
PAC ID
7012262207
Group Practice PAC ID
4082803655
Professional Enrollment ID
I20180612000162
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for KENDRA LYNN BOHANNON (DC)

  • Chippendale Avenue West, Rosemount, Dakota County, Minnesota, 55068, United States

    ROSEMOUNT, MN 550682769

    Phone: (651) 423-2900

    Fax: (651) 423-1330

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55068)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082803655View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

How do I look up KENDRA LYNN BOHANNON (DC) by NPI?
Use NPI 1861981748 when you need to reference KENDRA LYNN BOHANNON (DC) in forms, claims, or directories.
Does this profile mean KENDRA LYNN BOHANNON (DC) is currently active?
Yes — KENDRA LYNN BOHANNON (DC) appears active in the national provider directory.
Does KENDRA LYNN BOHANNON (DC) list a primary specialty?
If you are matching referrals, note Chiropractor for KENDRA LYNN BOHANNON (DC). Clinical services aligned with this taxonomy classification.
Where is KENDRA LYNN BOHANNON (DC)'s primary listing?
We display Rosemount, Minnesota because that is what the record indicates for KENDRA LYNN BOHANNON (DC).
What if Rosemount, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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