Individual
DR. KIRKLAND C NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0200
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
E-0479
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127427001
—
AR
01
—
290006942
RR MEDICARE
—
Enumeration date
07/24/2006
Last updated
01/07/2021
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