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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386682185 NPPES
Arizona MEDICAID 438318

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