Individual
AUDRA L OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2778 N WEBB RD, WICHITA, KS 67226-8112
(316) 631-1600
(316) 631-1617
Mailing address
2778 N WEBB RD, WICHITA, KS 67226-8112
(316) 631-1600
(316) 631-1617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01516
KS
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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