Individual provider · Type 1 NPI

Kevin Joseph Staley, MD

Neurology with Special Qualifications in Child Neurology Physician · Boston, MA

NPI number 1679512065 Active

Practice location

55 Fruit Street, Wac 708D
Boston, MA 02114

Call (617) 643-0363 Map

Fax (617) 643-0141

Mailing address

3 Shipway Pl
Charlestown, MA 02129-4301

Specialties and licenses

TaxonomyCodeLicense
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402X230011 (MA)

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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About NPI 1679512065

Kevin Joseph Staley, MD's National Provider Identifier is 1679512065, issued on Jun 4, 2006. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Boston, MA. The record was last updated on Dec 26, 2012.