Individual
BETH LAWSON OLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1210 N WASHINGTON ST, PLAINVILLE, KS 67663-1632
(785) 434-2622
(785) 434-2577
Mailing address
1210 N WASHINGTON ST, PLAINVILLE, KS 67663-1632
(785) 434-2622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6969
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KA2317002
MEDICARE ID
KS
Enumeration date
05/29/2008
Last updated
09/22/2015
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