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Individual

DR. KEVIN L OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4197C WINCHESTER RD, MARSHALL, VA 20115-3252
(540) 422-5782
(540) 360-9889
Mailing address
4197C WINCHESTER RD, MARSHALL, VA 20115-3252
(540) 422-5782
(540) 360-9889

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101252020
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184600728
VA
Enumeration date
12/15/2005
Last updated
07/20/2022
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