Olson, Kelly J
Olson, Kelly J is an individual health care provider with primary practice located at 1700 W Stout St , Rice Lake WI 54868-5000. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Olson, Kelly J can be contacted via phone (715) 236-8100.Contact Information
Primary practice address
1700 W Stout St
Rice Lake WI 54868-5000
Phone: (715) 236-8100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4606 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4606 | Wisconsin |
Profile Details
| NPI number | 1104100718 |
|---|---|
| LBN Legal business name | Olson, Kelly J |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2011 |
| Last updated | Sep 30th, 2011 - about 15 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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