Provider Demographics
NPI:1326690918
Name:OLSON, ROBIN L (MS)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:L
Last Name:OLSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:L
Other - Last Name:O'CONNOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:19000 W 96TH ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66220-9704
Mailing Address - Country:US
Mailing Address - Phone:913-710-0503
Mailing Address - Fax:
Practice Address - Street 1:11875 S SUNSET DR
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-2793
Practice Address - Country:US
Practice Address - Phone:913-477-8119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable