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

Kevin David Nolan, MD

Individual provider Vascular Surgery Physician · NPI 1871560979

Kevin David Nolan, MD is a Vascular Surgery in Southfield, Michigan. Graduated from University of Michigan Medical School in 1986, 40 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
40
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22250 Providence Dr Ste 555
Southfield, MI 48075-4825
Phone: (248) 424-5748
Fax: (248) 443-1706
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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 · Licence KN062252 (MI)

Record details

NPI number1871560979
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 7, 2006
Last updated in NPPESJanuary 12, 2015
Mailing address22250 Providence Dr, Suite 555, Southfield, MI 48075-4825

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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