Individual
KATHY L OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
242 BERGER RD, PADUCAH, KY 42003-4522
(270) 366-0960
(270) 554-1108
Mailing address
242 BERGER RD, PADUCAH, KY 42003-4522
(270) 366-0960
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007339
KY
363LP0200X
Pediatric Nurse Practitioner
835269
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100225560
—
KY
Enumeration date
02/17/2012
Last updated
12/07/2020
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