Individual
KEVIN W. OLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 W WALNUT ST, SUITE 205, YAKIMA, WA 98902-3360
(509) 248-6080
(509) 248-9964
Mailing address
1005 W WALNUT ST, SUITE 205, YAKIMA, WA 98902-3360
(509) 248-6080
(509) 248-9964
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
26949
AZ
207RG0100X
Gastroenterology Physician
58468
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
438318
—
AZ
Enumeration date
06/03/2006
Last updated
08/14/2019
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