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Individual

MS. KRISTINE ELAINE OLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDM, CPM

Contact information

Practice address
1340 W 70TH AVE, ANCHORAGE, AK 99518-2009
(907) 333-2229
Mailing address
1340 W 70TH AVE, ANCHORAGE, AK 99518-2009
(907) 333-2229

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
41
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41
STATE LICENSE NUMBER
AK
05
NM8947
AK
Enumeration date
04/10/2007
Last updated
07/08/2007
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