KENNETH L. NOLLER M.D. – NPI #1508824400
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

KENNETH NOLLER is a physician located in BOSTON, MA. NPPES has assigned the NPI number 1508824400 to KENNETH NOLLER on May 02, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH NOLLER below.

NPI Profile for
KENNETH L. NOLLER

NPI Number
1508824400
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNETH L. NOLLER
Credentials
M.D.
Primary location
BOX 324, WASHINGTON ST.
NEW ENGLAND MEDICAL CENTER
BOSTON, MA 02111
Phone: (617) 636-2382 Fax:
Mailing address
14 HIGH RIDGE RD
SHREWSBURY, MA 01545-1673
Phone: (617) 636-2382 Fax:
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)
MA 70287

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.