Provider Demographics
NPI:1124910369
Name:OLMSTEAD, KALEE (RDH)
Entity type:Individual
Prefix:
First Name:KALEE
Middle Name:
Last Name:OLMSTEAD
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:KALEE
Other - Middle Name:
Other - Last Name:LACHNIET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1105 VAN TUYL CIR
Mailing Address - Street 2:
Mailing Address - City:GUNNISON
Mailing Address - State:CO
Mailing Address - Zip Code:81230-2849
Mailing Address - Country:US
Mailing Address - Phone:970-209-8190
Mailing Address - Fax:
Practice Address - Street 1:304 W TOMICHI AVE STE 22
Practice Address - Street 2:
Practice Address - City:GUNNISON
Practice Address - State:CO
Practice Address - Zip Code:81230-2745
Practice Address - Country:US
Practice Address - Phone:970-901-5580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODH.000904824124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist