Provider Demographics
NPI:1740408301
Name:BERGMAN, KARI J (CST CFA)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:J
Last Name:BERGMAN
Suffix:
Gender:F
Credentials:CST CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 131
Mailing Address - Street 2:
Mailing Address - City:BENNETT
Mailing Address - State:CO
Mailing Address - Zip Code:80102-0131
Mailing Address - Country:US
Mailing Address - Phone:303-839-9641
Mailing Address - Fax:303-644-5015
Practice Address - Street 1:11907 E HARVARD AVE # B4101
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5480
Practice Address - Country:US
Practice Address - Phone:720-839-9641
Practice Address - Fax:303-644-5015
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist