Provider Demographics
NPI:1801037650
Name:BORMAN, KAREN BORMAN (DC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:BORMAN
Last Name:BORMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:BORMAN
Other - Last Name:HOLLAMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3775 IRIS AVE
Mailing Address - Street 2:2A/B
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301
Mailing Address - Country:US
Mailing Address - Phone:303-877-1458
Mailing Address - Fax:303-442-3128
Practice Address - Street 1:3775 IRIS AVE
Practice Address - Street 2:2A/B
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301
Practice Address - Country:US
Practice Address - Phone:303-877-1458
Practice Address - Fax:303-442-3128
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-07
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR-6339111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor