Scully, Kevin T

Scully, Kevin T is an individual health care provider with primary practice located at 1720 Nicholasville Rd Ste 400 , Lexington KY 40503-1475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Scully, Kevin T can be contacted via phone (859) 277-5887.

Contact Information

Primary practice address
1720 Nicholasville Rd Ste 400 Lexington KY 40503-1475
Phone: (859) 277-5887
Fax: (859) 276-7638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 22190 Kentucky

Profile Details

NPI number 1083655708
LBN Legal business name Scully, Kevin T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Dec 2nd, 2020 - about 5 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 1083655708 NPPES
Kentucky MEDICAID 6422190600
Kentucky Other 060019842

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