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Individual

DR. KIMBERLEE J OLSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1236 E ELIZABETH ST, SUITE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
(970) 472-9381
Mailing address
1236 E ELIZABETH ST, SUITE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
(970) 472-9381

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25322
NE
207L00000X
Anesthesiology Physician
Primary
DR.0047454
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02737825
CO
01
P00748254
MEDICARE - RR
CO
Enumeration date
04/17/2007
Last updated
06/07/2013
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