Kenneth David Olsen in Minneapolis - Internal Medicine

Kenneth David Olsen - NPI 1033179429

Kenneth David Olsen is a Internal Medicine in Minneapolis, Minnesota. Kenneth David Olsen practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kenneth David Olsen is 1033179429. The last update date is 2020-11-10.

Kenneth David Olsen's current location address is 2925 Chicago Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6128634000 and fax number 7632363026. The mailing address for Kenneth David Olsen is 2925 Chicago Ave, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth David Olsen
Address 2925 Chicago Ave, Minneapolis, Minnesota
Phone Number 6128634000
Fax Number 7632363026
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1033179429
Provider Enumeration Date 2006-03-28
Last Updated Date 2020-11-10

Provider Mailing Address Detail

Address 2925 Chicago Ave
City Minneapolis
State Minnesota (MN)
Post Code 554071321
Phone Number 6128634000
Fax Number 7632363026

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 37478
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
409525100 MN --

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FAQs about Kenneth David Olsen

What is the Kenneth David Olsen's unique identification number?

The Kenneth David Olsen has been assigned the NPI (National Provider Identifier) Number 1033179429 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Kenneth David Olsen's facilities are situated?

The facilities of Kenneth David Olsen are physically located at the following address: 2925 Chicago Ave, Minneapolis, MN, 554071321.

What is Kenneth David Olsen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kenneth David Olsen's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

On what date did Kenneth David Olsen receive its 1033179429 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth David Olsen was assigned its 1033179429 on 2006-03-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Kenneth David Olsen's details last updated?

The information pertaining to the Kenneth David Olsen, including its address, specialty, and other details, was most recently updated on 2020-11-10.

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