Individual
DR. KENNETH OLSHANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5875 BREMO RD STE 212, RICHMOND, VA 23226-1934
(804) 282-7965
Mailing address
5875 BREMO RD STE 212, RICHMOND, VA 23226-1934
(804) 282-7965
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101019320
VA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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