Olsen, Kevin R

Olsen, Kevin R is an individual health care provider with primary practice located at 175 West Broadway , Lincoln ME 04457-0000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Olsen, Kevin R can be contacted via phone (207) 794-6700.

Contact Information

Primary practice address
175 West Broadway Lincoln ME 04457-0000
Phone: (207) 794-6700
Fax: (207) 794-2572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-254 Maine

Profile Details

NPI number 1871553024
LBN Legal business name Olsen, Kevin R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Apr 5th, 2013 - about 12 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 1871553024 NPPES
Maine Other 100273 ANTHEM
Maine Other 201856 ANTHEM
Maine MEDICAID 330920099 ANTHEM

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