KEVIN NOLAN MD PC NPI 1477420479

NPI Information

  • NPI: 1477420479
  • Provider Name: KEVIN NOLAN MD PC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 22250 PROVIDENCE DR STE 608
    SOUTHFIELD, MI
    ZIP 48075
  • Phone: (248) 849-6350

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NPI Details

KEVIN NOLAN MD PC is a vascular surgery surgery in Southfield, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. KEVIN NOLAN MD PC NPI is 1477420479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22250 PROVIDENCE DR STE 608
SOUTHFIELD, MI
ZIP 48075-214
Phone: (248) 849-6350
Fax: (000) 000-0000

The provider's authorized official is Kevin Nolan .
The authorized official title is Owner and has the following contact phone number (248) 231-8381.

The enumeration date for this NPI number is 10/22/2025 and was last updated on 10/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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