DR. KENNETH MICHAEL OLSON (NPI# 1679648018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679648018 |
| Entity Type | Individual |
| Full Name | DR. KENNETH MICHAEL OLSON |
| Credential | D.D.S. |
| Practice Address |
393 Dunlap St N Ste 310 Saint Paul MN 55104-4207 |
| Practice Telephone | 6516479697 |
| Practice Fax Number | 6512030298 |
| Mailing Telephone | 6516479697 |
| Mailing Fax Number | 6512030298 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8085 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881903417 | Kenneth Olson | Counselor | 324 Gannett Dr Ste 300, South Portland, ME 04106-3269 | 2010-09-30 |
| 1073708061 | Kenneth Edgar Olson | Counselor | 4741 Lago Vista Cir, San Jose, CA 95129-1440 | 2007-09-12 |
| 1851459614 | Kenneth A Olson | Marriage & Family Therapist | 9033 Baseline Rd, Suite H, Rancho Cucamonga, CA 91730 | 2006-12-05 |
| 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 |
| 1649232877 | Kenneth Michael Olson | Physician Assistant | 915 N Grand Blvd, 11f/jc St. Louis Va, Saint Louis, MO 63106-1621 | 2006-04-04 |
| 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 |
| Street Address |
393 DUNLAP ST N STE 310 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831614387 | David Ji Hyun Park | Dentist | 393 Dunlap St N Ste 308, Saint Paul, MN 55104-4223 | 2017-08-06 |
| 1205289428 | Chukwujindu Onyemordi Nwaigbo | Dentist | 476 Herschel St, Apt 1, Saint Paul, MN 55104-3608 | 2016-07-22 |
| 1427302983 | Ali Barbarawi | Dentist | 1200 Robert St S, Saint Paul, MN 55118-2308 | 2012-11-06 |
| 1801029293 | Family First Dental Associates of West Point, P.C. | Dentist | 809 6th St, Saint Paul, NE 68873-1604 | 2009-09-01 |
| 1942470539 | Michael A. Kurkowski, Pa | Dentist | 3500 Rice St, Saint Paul, MN 55126-3043 | 2008-03-10 |
| 1841317732 | Mark I. Malterud, D.d.s., P.a. | Dentist | 770 Mount Curve Blvd, Saint Paul, MN 55116-1165 | 2007-03-23 |
| 1124172754 | Thomas Elliot Vukodinovich | Dentist | 542 Snelling Ave S, Saint Paul, MN 55116-1565 | 2007-01-22 |
| 1699825612 | Lezlie Ann Nelson | Dentist | 375 Jackson St Ste 200, Saint Paul, MN 55101-1806 | 2007-01-11 |
| 1174671358 | Lynn Robert Ostlund | Dentist | 1043 Payne Ave, Saint Paul, MN 55101-3840 | 2007-01-06 |
| 1295890895 | Cherokee Dental, P.a. | Dentist | 374 Annapolis St W, Saint Paul, MN 55118-1107 | 2006-12-25 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on DR. KENNETH MICHAEL OLSON.
| 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.