Individual
DR. KENNETH MYRON OLDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6801 W 20TH ST, SUITE 208, GREELEY, CO 80634
(970) 330-9061
(970) 330-9064
Mailing address
6801 W 20TH ST, SUITE 208, GREELEY, CO 80634
(970) 330-9061
(970) 330-9064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17137
CO
Other
Enumeration date
02/22/2006
Last updated
10/22/2010
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