Individual
WALTER L OLSON, JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 E CHESTNUT ST., SUITE 510, LOUISVILLE, KY 40202-5710
(502) 589-0802
(502) 589-0805
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0320
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
29249
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64029242
—
KY
Enumeration date
04/26/2006
Last updated
07/26/2016
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