Organization
KAOMD JD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT OLSON MD (OWNER)
(505) 264-4277
Entity
Organization
Contact information
Practice address
512 AMHERST DR SE, ALBUQUERQUE, NM 87106-1502
(505) 582-2478
Mailing address
512 AMHERST DR SE, ALBUQUERQUE, NM 87106-1502
(505) 582-2478
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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