Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Nolan MD PC

Organization Vascular Surgery Physician · NPI 1477420479

Kevin Nolan MD PC is a Vascular Surgery Physician in Southfield, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22250 Providence Dr Ste 608
Southfield, MI 48075-6214
Phone: (248) 849-6350
Fax: (000) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1477420479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Nolan — Owner · (248) 231-8381
NPI enumeratedOctober 22, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address7650 Cooley Lake Rd, Po Box 43, Union Lake, MI 48387-9998

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