Provider Demographics
NPI:1497645691
Name:OLSON, KADEN MICHAEL
Entity type:Individual
Prefix:
First Name:KADEN
Middle Name:MICHAEL
Last Name:OLSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1806 AVERY RD E
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-4612
Mailing Address - Country:US
Mailing Address - Phone:815-529-0301
Mailing Address - Fax:
Practice Address - Street 1:8790 F ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1524
Practice Address - Country:US
Practice Address - Phone:815-529-0301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist