Provider Demographics
NPI:1669443792
Name:OLIVIER, KENNETH N (MD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:N
Last Name:OLIVIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17412 BLOSSOM VIEW DR
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-2249
Mailing Address - Country:US
Mailing Address - Phone:301-496-5673
Mailing Address - Fax:301-496-7883
Practice Address - Street 1:LABORATORY OF CLINICAL INFECTIOUS DISEASES, NIAID
Practice Address - Street 2:BUILDING 10; RM 11N228, MSC 1888
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-496-5673
Practice Address - Fax:301-496-7883
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC38819207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease