| Kelly D Nolan, MD | |
|
5770 S 250 E, Suite 385, Murray, UT 84107-8100 | |
| (801) 314-4475 | |
| (801) 314-4555 |
| Full Name | Kelly D Nolan |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 25 Years |
| Location | 5770 S 250 E, Murray, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881709889 | NPI | - | NPPES |
| 942854057059 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 49777881205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alta View Hospital | Sandy, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly D Nolan, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 314-4475 | Kelly D Nolan, MD 5770 S 250 E, Suite 385, Murray, UT 84107-8100 Ph: (801) 314-4475 |
Mark John Ott, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5169 S Cottonwood St, Suite 400, Murray, UT 84107 Phone: 801-507-3462 Fax: 801-507-3061 | |
Dr. Greg R. Goodman, MD Surgery Medicare: Medicare Enrolled Practice Location: 5323 S. Woodrow Street, #102, Murray, UT 84107 Phone: 801-713-1010 Fax: 801-713-0665 | |
Dr. Steven W Merrell, MD Surgery Medicare: Medicare Enrolled Practice Location: 5323 S. Woodrow Street, #102, Murray, UT 84107 Phone: 801-713-1010 Fax: 801-713-0665 | |
Robert Dirk Noyes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5169 Cottonwood St, #440, Murray, UT 84107 Phone: 801-507-3915 Fax: 801-507-3916 | |
Clark J Rasmussen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 Cottonwood St, Suite 410, Murray, UT 84107 Phone: 801-266-8850 | |
Anthony Wayne Bacon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St Ste 400, Murray, UT 84107 Phone: 801-507-3460 | |
Steven R Granger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St Ste 400, Murray, UT 84107 Phone: 801-507-3460 Fax: 801-507-3458 |