Provider Demographics
NPI:1790024073
Name:NOLAN, KELSEY WESTERMAN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:KELSEY
Middle Name:WESTERMAN
Last Name:NOLAN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:10 OLD MONTGOMERY HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6737
Mailing Address - Country:US
Mailing Address - Phone:205-949-1900
Mailing Address - Fax:205-949-1919
Practice Address - Street 1:10 OLD MONTGOMERY HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6737
Practice Address - Country:US
Practice Address - Phone:205-949-1900
Practice Address - Fax:205-949-1919
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-06
Last Update Date:2017-07-05
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant