Provider Demographics
NPI:1750265831
Name:KOCIAN, KARI MICHELLE
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:MICHELLE
Last Name:KOCIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:MICHELLE
Other - Last Name:KOCIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:100 TORTOISE ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-8989
Mailing Address - Country:US
Mailing Address - Phone:205-919-4743
Mailing Address - Fax:
Practice Address - Street 1:100 TORTOISE ST
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-8989
Practice Address - Country:US
Practice Address - Phone:205-919-4743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-02
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach