Individual
DR. KELLY LYNN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15000 MIDLANTIC DR, MOUNT LAUREL, NJ 08054-1573
(877) 388-2778
(856) 252-1100
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MB11909400
NJ
208800000X
Urology Physician
OT018756
PA
Other
Enumeration date
06/22/2018
Last updated
09/13/2023
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