Olenick, Kelley J

Olenick, Kelley J is an individual health care provider with primary practice located at 4155 Yellowstone Ave Pine Ridge Mall, Pocatello ID 83202-2345. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Olenick, Kelley J can be contacted via phone (208) 238-0020.

Contact Information

Primary practice address
4155 Yellowstone Ave Pine Ridge Mall Pocatello ID 83202-2345
Phone: (208) 238-0020
Fax: (208) 238-0021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X H-243 Idaho

Profile Details

NPI number 1437222668
LBN Legal business name Olenick, Kelley J
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Aug 22nd, 2007 - about 19 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 1437222668 NPPES
Idaho Other 000010141365 REGENCE BCBS
Idaho Other 0174362 REGENCE BCBS
Idaho Other AU-456 REGENCE BCBS
Idaho Other AU-449 REGENCE BCBS
Idaho Other 000010150424 REGENCE BCBS

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