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KENNETH R DEVELLIS M.D.
NPI 1528007515
Surgery in Medford, MA

Active since June 05, 2006
92 HIGH ST, SUITE 32, MEDFORD, MA 02155(781) 395-5250 Get Directions Write a Review

NPPES record last updated: August 16, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kenneth R Devellis M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH R DEVELLIS M.D. (NPI 1528007515) is an individual surgery provider in Medford, Massachusetts, licensed in Massachusetts (40819) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1528007515
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKENNETH R DEVELLISCredential: M.D.
Location Address92 HIGH ST, SUITE 32Medford, MA 02155-3850
Mailing Address92 High St, Suite 32Medford, MA 02155-3850 · (781) 395-5250
Phone(781) 395-5250
Sole ProprietorYes
Enumeration DateJune 5, 2006
Last NPPES UpdateAugust 16, 2011
✔ NPI 1528007515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 40819
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
92 HIGH ST, Medford, MA 02155
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEX BEATON LMHC
Counselor (Mental Health)
92 HIGH ST
MEDFORD, MA 02155
Middlesex County (617) 702-9131
POUL M LAPLANTE M.D.
Family Medicine
92 HIGH ST, SUITE DH4
MEDFORD, MA 02155
Middlesex County (781) 306-0200
MICHAEL S. OLSTEIN MD PC
Ophthalmology
92 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-4010
FEHMIDA A CHIPTY M.D.
Internal Medicine (Gastroenterology)
92 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 391-8015
DR. MICHAEL S OLSTEIN M.D.,
Ophthalmology
92 HIGH ST, SUITE T-31
MEDFORD, MA 02155
Middlesex County (781) 396-4010
MS. ALISSA SUSAN KUZNICK LICSW
Social Worker (Clinical)
92 HIGH ST, DH7
MEDFORD, MA 02155
Middlesex County (781) 393-8889
DR. CINDY BRIDGER PSY.D.
Psychologist
92 HIGH ST, SUITE 7
MEDFORD, MA 02155
Middlesex County (781) 393-8889
R.A.SHORT & R.A. SCHNELL D.M.D.
Dentist (General Practice)
92 HIGH ST, SUITE 12
MEDFORD, MA 02155
Middlesex County (761) 396-4131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Devellis's NPI number?

The NPI number for Kenneth Devellis is 1528007515. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Kenneth Devellis located?

Kenneth Devellis practices at 92 High St Suite 32, Medford, MA 02155. The listed phone number is (781) 395-5250.

What is Kenneth Devellis's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Kenneth Devellis was last updated on August 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.