Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH R DEVELLIS, M.D.
Active Sole ProprietorKENNETH R DEVELLIS, M.D. is a General Surgery healthcare provider located in MEDFORD, Massachusetts. NPI 1528007515 is currently active in the NPPES registry. Verify at CMS.
General Surgery · MEDFORD, MA
Registration Details
- NPI Number
- 1528007515
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2006 (20.190338327322 yrs)
- Last Updated
- Aug 16, 2011
- License
-
40819 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
92 HIGH STSUITE 32MEDFORD, MA, 021553850Browse MA providers · Browse ZIP 02155
- Phone
- 7813955250
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in MEDFORD, MA
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES D ALLEN | MD | 1720063142 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.