Provider Demographics
NPI:1770582728
Name:OLVEY, STUART KENT (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:KENT
Last Name:OLVEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 S US 301
Mailing Address - Street 2:
Mailing Address - City:SUMTERVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:33585-5141
Mailing Address - Country:US
Mailing Address - Phone:352-569-2964
Mailing Address - Fax:888-518-2037
Practice Address - Street 1:3470 CENTENNIAL BLVD
Practice Address - Street 2:SUITE #210
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-4090
Practice Address - Country:US
Practice Address - Phone:719-955-0707
Practice Address - Fax:719-495-7333
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME143198207R00000X
CO22294207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCC5854Medicare PIN
D24074Medicare UPIN
C519998Medicare ID - Type Unspecified