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NPI Code Detail

MEDICARE: KIMBERLY NICOLE OLSON

MEDICARE: KIMBERLY NICOLE OLSON
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1972442812
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY NICOLE OLSON
Provider Business Mailing Address
First Line : 4660 S EASTERN AVE STE 201
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6139
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4660 S EASTERN AVE STE 201
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6139
Country : US
Telephone Number : 702-462-5251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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Directions to “ KIMBERLY NICOLE OLSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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