Kevin S Scully in Wilmington - Sports Medicine
Kevin S Scully - NPI 1114983772
Kevin S Scully is a Sports Medicine in Wilmington, North Carolina. Kevin S Scully practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Kevin S Scully is 1114983772. The last update date is 2012-07-26.
Kevin S Scully's current location address is 2716 Ashton Dr, Wilmington, North Carolina. You can contact this provider via phone number 9103323800 and fax number 9102510421. The mailing address for Kevin S Scully is 2716 Ashton Dr, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin S Scully |
|---|---|
| Address | 2716 Ashton Dr, Wilmington, North Carolina |
| Phone Number | 9103323800 |
| Fax Number | 9102510421 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114983772 |
|---|---|
| Provider Enumeration Date | 2006-04-24 |
| Last Updated Date | 2012-07-26 |
Provider Mailing Address Detail
| Address | 2716 Ashton Dr |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284122489 |
| Phone Number | 9103323800 |
| Fax Number | 9102510421 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 28340 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8975089 | NC | -- | |
| P01048395 | RR MEDICARE |
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What is the Kevin S Scully's 1114983772?
The Kevin S Scully's NPI (National Provider Identifier) Number is 1114983772. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Kevin S Scully by the Centers for Medicare & Medicaid Services (CMS)?
The Kevin S Scully has been assigned the NPI (National Provider Identifier) 1114983772. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Kevin S Scully?
The Kevin S Scully is physically situated at 2716 Ashton Dr, in the city of Wilmington, state of NC, with the postal code 284122489.
What is the Kevin S Scully's specialty and taxonomy code?
The Kevin S Scully's specialty is Sports Medicine, and the corresponding taxonomy code is 207Xx0005X.
When was the Kevin S Scully's information last updated?
The Kevin S Scully's information was last updated on 2012-07-26.
NPI Number: 1891797999
Address: Po Box 4048, Houston, TX