Individual
DR. KELLEY J OLENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
4155 YELLOWSTONE AVE, PINE RIDGE MALL, POCATELLO, ID 83202-2345
(208) 238-0020
(208) 238-0021
Mailing address
4155 YELLOWSTONE AVE, PINE RIDGE MALL, POCATELLO, ID 83202-2345
(208) 238-0020
(208) 238-0021
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
H-243
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010141365
REGENCE BCBS
ID
01
—
000010150424
BLUE SHIELD OF ID
ID
01
—
0174362
WA DEPT OF LABOR
ID
01
—
AU-449
BLUE CROSS GRP #AU-365
ID
01
—
AU-456
BLUE CROSS OF ID
ID
Enumeration date
11/16/2006
Last updated
08/22/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us