Individual
KELLY D NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5770 S 250 E, SUITE 385, MURRAY, UT 84107-8100
(801) 314-4475
(801) 314-4555
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 314-4475
(801) 314-4555
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
49777881205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854057059
—
UT
Enumeration date
08/20/2006
Last updated
10/22/2007
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