Provider Demographics
NPI:1407928427
Name:OLSON, KURT B (DC)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:B
Last Name:OLSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8605 MAYLAND DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4703
Mailing Address - Country:US
Mailing Address - Phone:804-527-1717
Mailing Address - Fax:804-527-0719
Practice Address - Street 1:8605 MAYLAND DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4703
Practice Address - Country:US
Practice Address - Phone:804-527-1717
Practice Address - Fax:804-527-0719
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000599111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor