Olson, Kenneth A

Olson, Kenneth A is an individual health care provider with primary practice located at 2000 N Dewey Ave , Reedsburg WI 53959-1049. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Olson, Kenneth A can be contacted via phone (608) 524-6487.

Contact Information

Primary practice address
2000 N Dewey Ave Reedsburg WI 53959-1049
Phone: (608) 524-6487
Fax: (608) 524-0842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 101280 Wisconsin

Profile Details

NPI number 1144221946
LBN Legal business name Olson, Kenneth A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jul 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144221946 NPPES
Wisconsin MEDICAID 43334600

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