MR. KENNETH MICHAEL OLSON


Address: 915 N Grand Blvd, 11f/jc St. Louis Va, Saint Louis, MO 63106-1621
Phone: 3146524100

MR. KENNETH MICHAEL OLSON (NPI# 1649232877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649232877
Entity Type Individual
Full Name MR. KENNETH MICHAEL OLSON
Credential P.A. - C
Practice Address 915 N Grand Blvd
11f/jc St. Louis Va
Saint Louis
MO 63106-1621
Mailing Address 840 Castleaire Pkwy
Saint Louis
MO 63129-2049
Practice Telephone 3146524100
Mailing Telephone 3148926195
Enumeration Date 2006-04-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

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1881903417 Kenneth Olson Counselor 324 Gannett Dr Ste 300, South Portland, ME 04106-3269 2010-09-30
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1851459614 Kenneth A Olson Marriage & Family Therapist 9033 Baseline Rd, Suite H, Rancho Cucamonga, CA 91730 2006-12-05
1679648018 Kenneth Michael Olson Dentist 393 Dunlap St N Ste 310, Saint Paul, MN 55104-4207 2006-11-21
1407927510 Kenneth Cornell Olson Psychiatry & Neurology 931 Highland Blvd, Ste 3340, Bozeman, MT 59715-6911 2006-11-11
1417044363 Kenneth J Olson Chiropractor 2116 W Galena Blvd, Suite 112, Aurora, IL 60506-3533 2006-10-10
1477576601 Kenneth Frederick Olson Jr. Registered Nurse 1010 4th St, Two Harbors, MN 55616-1200 2006-07-26
1336126275 Kenneth Olson Family Medicine 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 2005-12-30
1467438986 Kenneth A Olson Physical Therapist 3266 Sycamore Rd, Dekalb, IL 60115-9621 2005-12-16
1598746679 Kenneth R Olson Family Medicine 105 E Main St, Waukon, IA 52172-1735 2005-11-07

Office Location

Street Address 915 N GRAND BLVD
11F/JC ST. LOUIS VA
City SAINT LOUIS
State MO
Zip Code 63106-1621

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033115480 Jamie Lynn Swanson Physician Assistant 915 N Grand Blvd, Saint Louis, MO 63106-1621 2005-06-21
1821602756 Courtney Kay Duberry Optometrist 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-09-08
1043820053 Kathryn Marie Storm Pharmacist 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-08-04
1326657230 Rebecca Oluwafunmito Babalola Pharmacist 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-07-27
1639787328 Justin Clarke Liedke Pharmacist 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-07-19
1639796899 Taylor Anderson Nurse Practitioner 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-07-02
1427675800 Lauren Elizabeth Smith Nurse Practitioner 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-07-01
1427675925 Christa Marie Stoutenborough Nurse Practitioner 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-06-30
1992322739 Alexia Lambos Georges Perfusionist 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-06-27
1912522210 Meaghan Elizabeth Lecture Nurse Practitioner 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770027997 Superior Manor of Downtown LLC Assisted Living Facility 1501 Clinton St., St Louis, MO 63106 2016-12-07
1811361454 James Preston Jr. Pharmacist 915 N. Grand Vlvd, Pharmacy Dept., John Cochran Va Medical Center, Saint Louis, MO 63106 2015-11-19
1245656354 Julie Marie Albsmeyer Physician Assistant 915 North Grand 111-jc-gi, John Cochran Va Hospital, St. Louis, MO 63106 2014-03-13
1932523230 Cathy Yeung Registered Nurse 715 N Grand Blvd., St Louis, MO 63106 2014-02-07
1902149388 Amanda Foley Doula 4056 Humphrey Street, Saint Louis, MO 63106 2013-04-03
1942569876 Cornelia Charles Internal Medicine 915 Norh Grand Blvd, Saint Louis, MO 63106 2012-05-12
1124334396 Kasandra Ann Tinajero Registered Nurse 915 N. Grand Blvd., St. Louis, MO 63106 2010-08-26
1366673931 Cassandra Vernetta Talbert Social Worker 915 N. Grand., 122/jc Social Work Dept. V.a. Medical Center, St. Louis, MO 63106 2009-07-30
1497910707 Robert Louis Tillman Pharmacy Technician 915 N Grand Ave, St. Louis, MO 63106 2008-07-25
1861676686 Bradley Dean Overmeyer Social Worker 915 N Grand Blvd., Social Work Service, St. Louis, MO 63106 2007-12-28
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891227393 Hollis Smith Physician Assistant 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 2017-04-03
1649397894 Rachel S Tarr Physician Assistant 2208 Richert Pl, Saint Louis, MO 63143-2522 2007-03-23
1528198439 Jonathan Adam Pellechia Physician Assistant 11155 Dunn Rd Ste 315e, Saint Louis, MO 63136-6111 2007-03-07
1376174417 Robert Cory Proffer Physician Assistant 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234 2020-01-28
1881246502 Ariel Ashley Schnell Physician Assistant 3655 Vista Ave, Saint Louis, MO 63110-2539 2019-07-12
1194296186 Jacob Bast Physician Assistant 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2018-12-17
1508335779 Gerard Forster Physician Assistant 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 2018-11-17
1124509773 Sara Burke Connolly Physician Assistant 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2018-08-22
1831675545 Kyle Patrick Mclafferty Physician Assistant 11133 Dunn Rd, Saint Louis, MO 63136-6163 2018-07-16
1649768995 Paul Thomas Mrotek Physician Assistant 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2018-04-23
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Competitor

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City SAINT LOUIS
Zip Code 63106

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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