Individual
KATHERINE S OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
1717 UNIVERSITY DR S, FARGO, ND 58103-4939
(701) 234-2000
(701) 234-2345
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-1012
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
632
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51339
—
ND
Enumeration date
10/13/2006
Last updated
04/06/2020
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