Kevin H. Olsen M.D. Pc

LBN: Kevin H. Olsen M.D. Pc
Kevin H. Olsen M.D. Pc is an health care organization with primary practice located at 2603 Stafford Ave , Scranton PA 18505-3608. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Kevin H. Olsen M.D. Pc can be contacted via phone (570) 558-5558, or through Olsen, Kevin H via phone (570) 558-5558.

Contact Information

Primary practice address
2603 Stafford Ave Scranton PA 18505-3608
Phone: (570) 558-5558
Fax: (570) 558-5557
Website:
Map and Directions
Authorized official contact:
Name: Olsen, Kevin H Doctor of Medicine (MD)
Phone: (570) 558-5558

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD042779E Pennsylvania

Profile Details

NPI number 1659572733
LBN Legal business name Kevin H. Olsen M.D. Pc
DBA Doing business as
Authorized official Olsen, Kevin H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2007
Last updated Feb 14th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659572733 NPPES
Pennsylvania MEDICAID 0011413170012

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