Provider Demographics
NPI:1922494004
Name:OLSON, KAREN (MD MSPH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:OLSON
Suffix:
Gender:F
Credentials:MD MSPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2712 LAUREL OAK DR
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33566-6740
Mailing Address - Country:US
Mailing Address - Phone:813-428-3475
Mailing Address - Fax:863-667-7241
Practice Address - Street 1:2712 LAUREL OAK DR
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33566-6740
Practice Address - Country:US
Practice Address - Phone:813-428-3475
Practice Address - Fax:863-667-7241
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 660762083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine