Individual
NOLAN JACOB MCGLASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3900 KRESGE WAY STE 46, LOUISVILLE, KY 40207-4681
(502) 899-3858
(502) 899-3878
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(866) 273-5392
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001647A
IN
363A00000X
Physician Assistant
Primary
TC819
KY
Other
Enumeration date
10/25/2007
Last updated
07/01/2019
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