Olson, Kenneth Michael
Olson, Kenneth Michael is an individual health care provider with primary practice located at 915 N Grand Blvd 11F/Jc St. Louis Va, Saint Louis MO 63106-1621. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Olson, Kenneth Michael can be contacted via phone (314) 652-4100.Contact Information
Primary practice address
915 N Grand Blvd 11F/Jc St. Louis Va
Saint Louis MO 63106-1621
Phone: (314) 652-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1649232877 |
|---|---|
| LBN Legal business name | Olson, Kenneth Michael |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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