Provider Demographics
NPI:1265489223
Name:OLSON, KAREN R (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:R
Last Name:OLSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:R
Other - Last Name:KINGRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:387 US 70 W
Mailing Address - Street 2:MCDOWELL PEDIATRICS
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-6202
Mailing Address - Country:US
Mailing Address - Phone:828-652-6386
Mailing Address - Fax:828-652-5730
Practice Address - Street 1:387 US 70 W
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-6202
Practice Address - Country:US
Practice Address - Phone:828-652-6386
Practice Address - Fax:828-652-5730
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-01799208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD346321400Medicaid
MD346321400Medicaid
MD449PR609Medicare PIN
MDA98363Medicare UPIN
MD021801H41Medicare PIN