Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth R Devellis, MD

Individual provider Surgery Physician · NPI 1528007515

Kenneth R Devellis, MD is a Surgery Physician in Medford, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

92 High St Ste 32
Medford, MA 02155-3850
Phone: (781) 395-5250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 40819 (MA)

Record details

NPI number1528007515
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 5, 2006
Last updated in NPPESAugust 16, 2011

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