| Doctor Name: | KARI BOLT |
| NPI Number: | 1174713119 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CDR |
| License Number: | 85001954 |
| Business Practice Address: | 3655 Mitchell St Loris, SC - 295692827 |
| Business Phone Number: | 8437167000 |
| Business Fax Number: | 8437167093 |
| Mailing Address: | 3655 Mitchell St, Box 690001 LORIS |
| State: | SC |
| Postal Code: | 295699601 |
| Phone Number: | 8437167000 |
| Fax Number: | 8437167093 |
| NPI Enumeration Date: | 07/26/2007 |
| NPI Last Update Date: | 07/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 85001954 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |