Olson, Kelly

Olson, Kelly is an individual health care provider with primary practice located at 1201 25Th St S , Fargo ND 58103-2311. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Olson, Kelly can be contacted via phone (701) 451-4900.

Contact Information

Primary practice address
1201 25Th St S Fargo ND 58103-2311
Phone: (701) 451-4900
Fax: (651) 925-0057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1074 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2009-023 North Dakota

Profile Details

NPI number 1790804409
LBN Legal business name Olson, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Feb 25th, 2020 - about 4 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 1790804409 NPPES
Minnesota Other HP51290 HEALTH PARTNERS
Minnesota Other 245K1OL HEALTH PARTNERS
Minnesota Other 3100200502 HEALTH PARTNERS
Minnesota Other 56560-B005 HEALTH PARTNERS
Minnesota MEDICAID 727623100 HEALTH PARTNERS
Minnesota Other 9398252 HEALTH PARTNERS
Minnesota Other 2352433 HEALTH PARTNERS

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