Individual
KATHRYN L OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1708 BOISE AVE, LOVELAND, CO 80538-4204
(970) 667-3116
(970) 669-0159
Mailing address
PO BOX 7643, LOVELAND, CO 80537-0643
(970) 667-3116
(970) 669-0159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2133
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14708876
—
CO
Enumeration date
11/22/2005
Last updated
11/05/2020
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