MRS. KELLY ELISE OLSEN


Address: 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145
Phone: 8172504280

MRS. KELLY ELISE OLSEN (NPI# 1740702927) 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) 1740702927
Entity Type Individual
Full Name MRS. KELLY ELISE OLSEN
Other Name KELLY ELISE LAHR
Credential PA-C
Practice Address 1325 Pennsylvania Ave Ste 890
Fort Worth
TX 76104-2145
Practice Telephone 8172504280
Practice Fax Number 8172504281
Mailing Telephone 8172504280
Mailing Fax Number 8172504281
Enumeration Date 2017-07-10
Last Update Date 2019-05-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA12627 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY OLSEN

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1235613274 Kelly Rose Olsen Behavioral Analyst 510 Mccormick Dr Ste U-w, Glen Burnie, MD 21061-3283 2018-09-15
1235417320 Kelly Mukti Olsen Nurse Anesthetist, Certified Registered 430 E Division St, Fond Du Lac, WI 54935-4560 2011-07-24
1699964312 Kelly Ann Olsen Social Worker 2400 S 48th St, Springdale, AR 72762-6683 2007-10-18
1407902950 Kelly J. Olsen Dentist 321 N Mall Dr, Suite #d101, St George, UT 84790-7302 2007-01-26

Office Location

Street Address 1325 PENNSYLVANIA AVE STE 890
City FORT WORTH
State TX
Zip Code 76104-2145

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538152400 Diana Elizabeth Wilson Neurological Surgery 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 2005-08-25
1982201091 Mackenzie Ann Warner Physician Assistant 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 2020-10-02
1861950966 Kathryn Barberena Nurse Practitioner 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 2019-03-07
1134601909 Melynda Marie Allesandro Nurse Practitioner 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 2018-08-29
1013423839 Shiny C Joice Nurse Practitioner 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 2017-12-15
1659806040 Kacie Johnson Nurse Practitioner 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 2017-04-24
1710412374 Anna L Brown Nurse Practitioner 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 2017-04-20
1972053312 Erin Swelnis Nurse Practitioner 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 2016-10-10
1134676349 Ashton Leanne Parham Nurse Practitioner 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 2016-09-06
1700236874 Alison Conlee Nurse Practitioner 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 2016-06-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447789896 Texas Surgical Ally Physician Assistant 6677 Friendsway Dr, Fort Worth, TX 76137 2017-06-08
1831647734 Frisco Neuro Collaborations, Pllc Physician Assistant 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 2016-09-20
1205299138 Trasimeno, LLC Physician Assistant 9800 Sinclair St, Fort Worth, TX 76244-5890 2016-03-29
1770974727 Melvin Johnson Physician Assistant 1016 Grand National Blvd, Fort Worth, TX 76179-2336 2015-02-12
1780924415 Erica Valenzuela Physician Assistant 521 Darlington Trl, Fort Worth, TX 76131-3541 2013-02-16
1871746230 Ansurio Cardona Jr. Physician Assistant 11800 Horseshoe Ridge Dr, Fort Worth, TX 76244-4892 2008-10-29
1548481781 Henry Lee Collins Physician Assistant 2713 Clovermeadow Dr, Fort Worth, TX 76123-2107 2007-05-02
1376583906 Stephanie Lynn Curtis Physician Assistant 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 2006-06-08
1992774103 Sarah Rodriguez Physician Assistant 3637 Bellaire Dr S, Fort Worth, TX 76109-2135 2006-03-17
1811597321 Kathryn Varano Physician Assistant 1250 8th Ave, Fort Worth, TX 76104-4124 2020-10-26
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Competitor

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City FORT WORTH
Zip Code 76104

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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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