Individual provider · NPI-1
Dr. Keith L Olsen, D.C.
Chiropractor · Madera, CA
NPI number1093856775
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1093856775
- Entity type
- Individual (NPI-1)
- Name
- Dr. Keith L Olsen
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 22111 | CA | Yes |
Practice location
1521 N Schnoor StSuite 101
Madera, CA 93637-3602
Phone 559-661-1045 · Fax 559-661-1078
Mailing address
1521 N Schnoor StSuite 101
Madera, CA 93637-3602
Phone 559-661-1045 · Fax 559-661-1078
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