Keith Lynn Olsen, CST-CSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

2130 Yellowsnow Rd
Fairbanks, AK 99709-6348

Phone

(907) 419-0818

NPI assigned

Oct 20, 2026

Last updated

Oct 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1740187129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74406",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997074406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 YELLOWSNOW RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997096348",
            "telephone_number": "907-419-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "KEITH",
        "middle_name": "LYNN",
        "credential": "CST-CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Old Minto Family Recovery Camp
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• Barbara A Olivier
• Bessie Ann Olney
• Justin Olsen
• Kevin Olsen
• Ellen Mareen Olson, NUTRITIONIST
• Jessica P Olson, LMT
• Monica Lynn Olson, P.T.
• Tatiana Carlin Olson, PA-C

• Surgical Assistant in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Surgical Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.