Individual
KIERSTEN E. OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1310 S LEBANON ST, LEBANON, IN 46052-3076
(765) 680-0071
(765) 436-0455
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01089961A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300039882
—
IN
Enumeration date
04/06/2020
Last updated
07/11/2024
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