NPI 1174713119 · live from the CMS NPI Registry
Kari Bolt, CDR
Dietitian, Registered in Loris, SC. National Provider Identifier 1174713119, active.
NPI record
| NPI | 1174713119 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3655 Mitchell St, Loris, SC 29569 |
| Practice phone | 843-716-7000 |
| Mailing address | 3655 Mitchell St, Box 690001, Loris, SC 29569 |
| Enumerated | July 26, 2007 |
| Last updated | July 26, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 85001954 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.