Individual
KARI SACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2100 W SUNSET DR, RIVERTON, WY 82501-2274
(800) 967-1646
Mailing address
PO BOX 32103, BILLINGS, MT 59107-2103
(317) 567-2180
(317) 567-2191
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
23051.0807
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122521900
—
WY
01
—
315566
BCBS
WY
01
—
P00435059
RAILROAD MEDICARE
WY
Enumeration date
06/17/2006
Last updated
02/08/2010
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