MEDICARE: HANNAH KRISTENE OLSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	2085R0202X	Diagnostic Radiology Physician	04-48307	KS

General Provider Information

NPI Number	:	1336600303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH KRISTENE OLSON MD

Provider Business Mailing Address
First Line	:	1133 COLLEGE AVE STE C143
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-2751
Country	:	US
Telephone Number	:	785-346-6275
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 COLLEGE AVE STE C143
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-2751
Country	:	US
Telephone Number	:	785-539-7641
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2019
Last Update Date	:	10/29/2024

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