Provider Demographics
NPI:1245285154
Name:OLDS, KARIN ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:KARIN
Middle Name:ELIZABETH
Last Name:OLDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:901 E 104TH ST
Mailing Address - Street 2:MAILSTOP 400S
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131
Mailing Address - Country:US
Mailing Address - Phone:816-502-7117
Mailing Address - Fax:816-932-9670
Practice Address - Street 1:4400 BROADWAY
Practice Address - Street 2:SUITE 520
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3342
Practice Address - Country:US
Practice Address - Phone:816-531-4080
Practice Address - Fax:816-531-0281
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2017-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-318132084N0400X
MO20060063162084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200404980AMedicaid
36735014OtherBCBS
KS200404980BMedicaid
MO200714202Medicaid
36735014OtherBCBS
P00380105Medicare PIN
I27010Medicare UPIN
MO200714202Medicaid