MR. KENNETH MICHAEL OLSON P.A. - C
NPI 1649232877
Physician Assistant - Medical in Saint Louis, MO
About Mr. Kenneth Michael Olson P.a. - C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENNETH MICHAEL OLSON P.A. - C (NPI 1649232877) is an individual medical provider in Saint Louis, Missouri and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Kenneth Michael Olson P.a. - C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63106
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Olson's NPI number?
The NPI number for Kenneth Olson is 1649232877. It was assigned to this individual provider in the NPPES registry on April 4, 2006.
Where is Kenneth Olson located?
Kenneth Olson practices at 915 N Grand Blvd 11f/Jc St. Louis VA, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.
What is Kenneth Olson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kenneth Olson enrolled in Medicare?
Yes. Kenneth Olson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kenneth Olson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.