Individual
KIMBERLY ANNE OLCHEWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 147, HAGERSTOWN, MD 21742-6755
(301) 714-4350
(301) 714-4353
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C05279
MD
363AM0700X
Medical Physician Assistant
MA057665
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103159289
—
PA
Enumeration date
01/03/2014
Last updated
05/28/2019
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