Kenneth Nolan, CCP

NPI #1013226174 in Livonia, Michigan

Provider Information

NPI Number: 1013226174
Entity Type: Individual
Name: Kenneth Nolan, CCP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Perfusionist
Credential: CCP
Enumeration Date: Oct 6, 2010
Last Updated: Oct 6, 2010

Practice Location

Address: 31330 SCHOOLCRAFT RD
Address 2: STE 200
City: Livonia
State: Michigan
ZIP Code: 48150-2041
Phone: (734) 525-9712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Perfusionist	242T00000X	Primary

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