IndividualActive
Kevin Scully, MD
NPI 1770978363 · Pediatric Endocrinology Physician · Providence, RI
Provider details
- NPI number
- 1770978363
- Entity type
- Individual
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 286562 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-6195
Approximate (ZIP-level) locationGet directions
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Additional practice locations (1)
- 300 Longwood AveBoston, MA 02115-5724Phone: (617) 355-6000
Registry dates
- Enumerated
- 2015-04-01
- Last updated
- 2022-06-03
- Certified
- 2022-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.