Scully, Kevin S

Scully, Kevin S is an individual health care provider with primary practice located at 2716 Ashton Dr , Wilmington NC 28412-2489. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Scully, Kevin S can be contacted via phone (910) 332-3800.

Contact Information

Primary practice address
2716 Ashton Dr Wilmington NC 28412-2489
Phone: (910) 332-3800
Fax: (910) 251-0421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 28340 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 28340 North Carolina

Profile Details

NPI number 1114983772
LBN Legal business name Scully, Kevin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Jul 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114983772 NPPES
North Carolina MEDICAID 8975089
North Carolina Other P01048395

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