Individual
KENNETH A OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2000 N DEWEY AVE, REEDSBURG, WI 53959-1049
(608) 524-6487
(608) 524-0842
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(608) 524-6487
(608) 524-0842
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101280
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43334600
—
WI
Enumeration date
08/03/2005
Last updated
07/10/2024
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