Doctor Name: | JOHN KENNEDY OLSON |
NPI Number: | 1447254081 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 31645 |
Business Practice Address: | 701 10th St Se J Edward Lundy Pavillion 4th Floor Cedar Rapids, IA - 524031251 |
Business Phone Number: | 3192218400 |
Business Fax Number: | 3192218403 |
Mailing Address: | 855 A Ave Ne, P O Box 3080 CEDAR RAPIDS |
State: | IA |
Postal Code: | 524063080 |
Phone Number: | 3193685500 |
Fax Number: | 3193685503 |
NPI Enumeration Date: | 06/10/2005 |
NPI Last Update Date: | 11/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 31645 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |