Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 0422254 | KS |
N | 2080P0201X | Pediatric Allergist | 0422254 | KS |
Y | 2080P0216X | Pediatric Rheumatologist | 0422254 | KS |
NPI | 1265543466 |
---|---|
Provider Name | Nancy Y Olson |
First Address | Overland Park, KS 66213-1449 |
Second Address | Overland Park, KS 66213-1449 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 17/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C50756 | (02) |