Kevin S Scully
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
2716 Ashton Dr
Wilmington
, North Carolina 28412-2489
Kevin S Scully
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
2716 Ashton Dr
Wilmington
, North Carolina 28412-2489
(910) 251-0421
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Kevin S Scully
- 2716 Ashton Dr
- Wilmington, NC
- Zip : 28412-2489
- Fax : (910) 251-0421
- Phone : (910) 332-3800
Second Address
- Kevin S Scully
- 2716 Ashton Dr
- Wilmington, NC
- Zip : 28412-2489
- Fax : (910) 251-0421
- Phone : (910) 332-3800
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 28340 | NC |
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 28340 | NC |
National Provider Identifier
| NPI | 1114983772 |
|---|---|
| Provider Name | Kevin S Scully |
| First Address | Wilmington, NC 28412-2489 |
| Second Address | Wilmington, NC 28412-2489 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2006 |
| Last Update Date | 26/07/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8975089 | (05) | NC |
| A51939 | (02) | |
| P01048395 | RR MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.