Provider Demographics
NPI:1265511232
Name:POLLERT, KARI DIANE (LAC)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:DIANE
Last Name:POLLERT
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 773869
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80477-3869
Mailing Address - Country:US
Mailing Address - Phone:970-846-8985
Mailing Address - Fax:970-879-4928
Practice Address - Street 1:1560 PINE GROVE ROAD
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487
Practice Address - Country:US
Practice Address - Phone:970-846-8985
Practice Address - Fax:970-879-4928
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO522171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist