KEVIN SCULLY, PAC

Physician Assistant

Active Individual
NPI: 1730199563

Practice Address

2210 THREE LAKES PKWY STE 100
Tyler, TX 75703

Phone: (903) 747-4050

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA03374 (TX)

Frequently Asked Questions

NPI 1730199563 is the National Provider Identifier for KEVIN SCULLY, PAC, a Physician Assistant provider located in Tyler, TX. This NPI was enumerated on August 8, 2006.
KEVIN SCULLY, PAC practices at 2210 THREE LAKES PKWY STE 100, Tyler, TX 75703.

Quick Facts

NPI
1730199563
Type
Individual
Enumerated
Aug 8, 2006
Last Updated
Feb 5, 2026

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