| Kenneth R Devellis, MD | |
| 92 High St, Suite 32, Medford, MA 02155-3850 | |
| (781) 395-5250 | |
| Not Available | 
| Full Name | Kenneth R Devellis | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 92 High St, Medford, Massachusetts | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528007515 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 40819 (Massachusetts) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kenneth R Devellis, MD 92 High St, Suite 32, Medford, MA 02155-3850 Ph: (781) 395-5250 | Kenneth R Devellis, MD 92 High St, Suite 32, Medford, MA 02155-3850 Ph: (781) 395-5250 | 
| Dr. Charles D Allen, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 49 Governors Ave, Medford, MA 02155 Phone: 781-395-6122 Fax: 781-395-2595 | |
| Catherine S Tucker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 49 Governors Ave, Hallmark Health Medical Associates Inc, Medford, MA 02155 Phone: 781-395-6122 Fax: 781-395-2595 |