Nolan, Kevin David

Nolan, Kevin David is an individual health care provider with primary practice located at 22250 Providence Dr Suite 555, Southfield MI 48075-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Nolan, Kevin David can be contacted via phone (248) 424-5748.

Contact Information

Primary practice address
22250 Providence Dr Suite 555 Southfield MI 48075-4825
Phone: (248) 424-5748
Fax: (248) 443-1706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X KN062252 Michigan

Profile Details

NPI number 1871560979
LBN Legal business name Nolan, Kevin David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jan 12th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871560979 NPPES
Michigan Other 0P33080 PTAN
Michigan MEDICAID 3488275 PTAN

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