# KEVIN NOLAN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477420479
- **Authorized official:** KEVIN NOLAN MD (OWNER)
- **Authorized official phone:** (248) 231-8381

## Contact information

- **Practice address:** 22250 PROVIDENCE DR STE 608, SOUTHFIELD, MI 48075-6214
- **Practice address phone:** (248) 849-6350
- **Practice address fax:** (000) 000-0000
- **Mailing address:** 7650 COOLEY LAKE RD, PO BOX 43, UNION LAKE, MI 48387-9998
- **Mailing address phone:** (248) 231-8381
- **Mailing address fax:** (000) 000-0000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2025
- **Last updated:** 10/22/2025