Individual
JOHN D. L. NOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5808 W 110TH ST, OVERLAND PARK, KS 66211-2504
(913) 696-8000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
04-40271
KS
207ZH0000X
Hematology (Pathology) Physician
R-7960
IA
207ZP0213X
Pediatric Pathology Physician
040271
KS
207ZP0213X
Pediatric Pathology Physician
Primary
2017032124
MO
Other
Enumeration date
05/22/2007
Last updated
04/28/2026
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