Individual
KELLY OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1507 HILLCREST DR, JUNIATA, NE 68955-3126
(402) 984-8580
Mailing address
4715 S 132ND ST, OMAHA, NE 68137-1899
(402) 444-6500
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
03/10/2025
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