Healthcare Provider Details

I. General information

NPI: 1396306080
Provider Name (Legal Business Name): DAVID OLAFSSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2019
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 E MAXWELL ST FL 3
LEXINGTON KY
40508-2640
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 859-218-5350
  • Fax: 859-323-7660
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR-11436
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number58952
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: