Kenneth P Olson (NPI# 1336126275, PAC ID# 4486780806) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1336126275 |
| PAC ID by PECOS | 4486780806 |
| Professional Enrollment ID | I20100324001127 |
| Full Name | Kenneth P Olson |
| Organization Legal Name | LTC PROFESSIONALS PLLC |
| Address |
7801 E Bush Lake Rd Suite 400 Minneapolis MN 55439-3113 |
| Phone Number | 9522833161 |
| Gender | M |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7911181029 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240063 | ST JOSEPH'S HOSPITAL |
| 240053 | PARK NICOLLET METHODIST HOSPITAL |
| 240018 | MAYO CLINIC HEALTH SYSTEM IN RED WING |
| Address | Phone | Organization |
|---|---|---|
| 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 | 9522833161 | LTC PROFESSIONALS PLLC |
| Organization Legal Name | LTC PROFESSIONALS PLLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Bachorik | Nurse Practitioner | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Kristen O Hansberry | Family Medicine | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Anne C Schwemm | Nurse Practitioner | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Dirk S Halverson | Podiatry | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Maggie Marie Prunty | Nurse Practitioner | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Marlene Bonilla Alicea | Podiatry | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Erin P Emerson Egginton | Family Medicine | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Vikas S Mittal | Internal Medicine | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Michael Robert Wilcox | Family Medicine | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Anne Florence W Njenga | Certified Clinical Nurse Specialist (cns) | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Street Address |
7801 E BUSH LAKE RD SUITE 400 |
| City | MINNEAPOLIS |
| State | MN |
| Zip | 55439-3113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin G. King | Chiropractic | 7801 E Bush Lake Rd, Suite 280, Minneapolis, MN 55439-3144 | |
| Elizabeth Bachorik | Nurse Practitioner | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Kristen O Hansberry | Family Medicine | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Anne C Schwemm | Nurse Practitioner | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Dirk S Halverson | Podiatry | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Maggie Marie Prunty | Nurse Practitioner | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Marlene Bonilla Alicea | Podiatry | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Erin P Emerson Egginton | Family Medicine | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Vikas S Mittal | Internal Medicine | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Michael Robert Wilcox | Family Medicine | Ltc Professionals Pllc | 7801 E Bush Lake Rd, Suite 400, Minneapolis, MN 55439-3113 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis G Obrien | Pain Management | Andrew J Will Md Pa | 7382 Kirkwood Ct, Edina, MN 55439 |
| Jeffrey P Anderson | Chiropractic | 7001 Cahill Rd, Suite 23, Edina, MN 55439-2018 | |
| Janet Lynn Norman | Psychologist, Clinical | 7241 Ohms Ln, Suite 145, Edina, MN 55439-2136 | |
| Sara Lea Gurganus | Psychologist, Clinical | 7241 Ohms Ln, Suite 145, Edina, MN 55439-2136 | |
| Amy S Krenzer | Nurse Practitioner | Andrew J Will Md Pa | 7235 Ohms Ln, Edina, MN 55439-2148 |
| Christopher J Turnbull | Certified Registered Nurse Anesthetist (crna) | Twin Cities Anesthesia Pa | 7211 Ohms Ln, Edina, MN 55439-2148 |
| Dean S Anderson | Certified Registered Nurse Anesthetist (crna) | Twin Cities Anesthesia Pa | 7211 Ohms Ln, Edina, MN 55439-2148 |
| Erin Aline Ashby | Certified Registered Nurse Anesthetist (crna) | Twin Cities Anesthesia Pa | 7211 Ohms Ln, Edina, MN 55439-2148 |
| Tiffany L Mcintyre | Nurse Practitioner | Andrew J Will Md Pa | 7235 Ohms Ln, Edina, MN 55439-2148 |
| Tracey L Baehler | Nurse Practitioner | Andrew J Will Md Pa | 7235 Ohms Ln, Edina, MN 55439-2148 |
| Find all physicians in zip 55439 | |||
| City | MINNEAPOLIS |
| Zip Code | 55439 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MINNEAPOLIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kenneth P Olson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.