Individual
MR. ROBERT BOND NOLAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4119 BROWNS LN, STE 1, LOUISVILLE, KY 40220-1500
(502) 451-9296
(502) 451-9291
Mailing address
4119 BROWNS LN, STE 1, LOUISVILLE, KY 40220-1500
(502) 451-9296
(502) 451-9291
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
—
KY
207Q00000X
Family Medicine Physician
Primary
23114
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000246324
ANTHEM
KY
01
—
01-00257
UNITED HEALTHCARE
KY
01
—
080195017
RAILROAD MEDICARE
KY
01
—
6319873
CIGNA
KY
Enumeration date
06/09/2005
Last updated
12/09/2009
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