MR. KENNETH MICHAEL OLSON (P.A. - C) – Medical Physician Assistant, NPI 1649232877
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. KENNETH MICHAEL OLSON (P.A. - C)
840, Castleaire Parkway, Golden Gables, Mehlville, Saint Louis County, Missouri, 63129, United States
SAINT LOUIS, MO 631292049
Phone: (314) 892-6195
Type: Mailing
John Cochran Division - VA St. Louis Health Care System, 915, North Grand Boulevard, Covenant Blu Grand Center, City of Saint Louis, Missouri, 63106, United States
11F/JC ST. LOUIS VA
SAINT LOUIS, MO 631061621
Phone: (314) 652-4100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-05-09
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63129)
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