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NPI Code Detail

MEDICARE: DR. STUART KENT OLVEY M.D.

MEDICARE:  DR. STUART KENT OLVEY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME143198FL
2207R00000XInternal Medicine Physician22294CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770582728
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STUART KENT OLVEY M.D.
Provider Business Mailing Address
First Line : 1425 S US 301
Second Line :
City : SUMTERVILLE
State : FL
Zip : 33585-5141
Country : US
Telephone Number : 352-569-2964
Fax Number : 888-518-2037
Provider Business Practice Location Address
First Line : 3470 CENTENNIAL BLVD
Second Line : SUITE #210
City : COLORADO SPRINGS
State : CO
Zip : 80907-4090
Country : US
Telephone Number : 719-955-0707
Fax Number : 719-495-7333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 01/05/2022

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Directions to “ DR. STUART KENT OLVEY M.D.” Practice Location

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