Individual
KENDALL NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13060 ADAMS RD, GRANGER, IN 46530-8787
(574) 243-5468
(574) 243-5664
Mailing address
13060 ADAMS RD, GRANGER, IN 46530-8787
(574) 243-5468
(574) 243-5664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025902A
IN
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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