Provider Demographics
NPI:1831503267
Name:OLIVER, KARRAH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:KARRAH
Middle Name:
Last Name:OLIVER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:300 W GOOD SAMARITAN DR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MN
Mailing Address - Zip Code:56762-1412
Mailing Address - Country:US
Mailing Address - Phone:218-745-4211
Mailing Address - Fax:
Practice Address - Street 1:205 ROOSEVELT AVE W
Practice Address - Street 2:
Practice Address - City:KARLSTAD
Practice Address - State:MN
Practice Address - Zip Code:56732-4022
Practice Address - Country:US
Practice Address - Phone:218-436-2251
Practice Address - Fax:218-436-2285
Is Sole Proprietor?:No
Enumeration Date:2014-06-13
Last Update Date:2020-01-31
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical