Provider Demographics
NPI:1750876645
Name:OLSON, KRISTOFOR AKSAMIT (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:KRISTOFOR
Middle Name:AKSAMIT
Last Name:OLSON
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UT AUSTIN DELL MEDICAL SCHOOL GENERAL SURGERY EDUCATION
Mailing Address - Street 2:1500 RED RIVER STREET, ANNEX
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701
Mailing Address - Country:US
Mailing Address - Phone:512-324-7392
Mailing Address - Fax:
Practice Address - Street 1:LOGAN HEALTH SURGICAL CLINIC
Practice Address - Street 2:1333 SURGICAL SERVICES DRIVE
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901
Practice Address - Country:US
Practice Address - Phone:406-751-5392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA186420208600000X
MTMED-PHYS-LIC-161323208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery