MEDICARE: MR. RICHARD NOLAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225000000X	Orthotic Fitter

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952338634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD NOLAND

Provider Business Mailing Address
First Line	:	812 RED LEAF CT
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1759
Country	:	US
Telephone Number	:	859-268-2525
Fax Number	:	859-268-2255

Provider Business Practice Location Address
First Line	:	2909 RICHMOND RD
Second Line	:	SUITE 30
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1764
Country	:	US
Telephone Number	:	859-268-2525
Fax Number	:	859-268-2255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	07/09/2007

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Directions to “ MR. RICHARD NOLAND ” Practice Location

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