Olden, Kevin W.
Olden, Kevin W. is an individual health care provider with primary practice located at 1005 W Walnut St Suite 205, Yakima WA 98902-3360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Olden, Kevin W. can be contacted via phone (509) 248-6080.Contact Information
Primary practice address
1005 W Walnut St Suite 205
Yakima WA 98902-3360
Phone: (509) 248-6080
Fax: (509) 248-9964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 58468 | Tennessee |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 26949 | Arizona |
Profile Details
| NPI number | 1386682185 |
|---|---|
| LBN Legal business name | Olden, Kevin W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Aug 14th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386682185 | NPPES |
| Arizona | MEDICAID | 438318 |
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