Individual
DR. KELLEY J OLENICK
Active
Individual
DR. KELLEY J OLENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
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
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