Individual
KEVIN J SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-6195
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
286562
MA
2080P0205X
Pediatric Endocrinology Physician
Primary
MD18498
RI
Other
Enumeration date
04/01/2015
Last updated
06/03/2022
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