Kennedy, Karen Olsen
Kennedy, Karen Olsen is an individual health care provider with primary practice located at 9040 Jackson Ave , Tacoma WA 98431-3510. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kennedy, Karen Olsen can be contacted via phone (253) 968-3066.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 54035 | Massachusetts |
Profile Details
| NPI number | 1932175734 |
|---|---|
| LBN Legal business name | Kennedy, Karen Olsen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jul 25th, 2024 - about 2 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 | 1932175734 | NPPES |
| Massachusetts | MEDICAID | 3103102 |
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