Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Kevin P Scully, PAC
Physician Assistant in Tyler, TX · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1730199563
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Kevin P Scully
Credential PAC
Sex Male
Practice address 2210 Three Lakes Pkwy Ste 100, Tyler, TX, 75703
Phone (903) 747-4050
Fax (903) 747-4075
Enumeration date Aug 8, 2006
Last updated in NPPES Feb 5, 2026
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA03374 (TX) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Kevin Scully?
Kevin Scully is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
Browse all → Bryan Hyland Family Medicine Physician · Tyler, TX NPI 1215972591 Allison Clements Physician Assistant · Tyler, TX NPI 1669402715 Katherine Bowman Audiologist · Tyler, TX NPI 1609982420 Christopher Perro Otolaryngology/Facial Plastic Surgery Physician · Tyler, TX NPI 1346462496 Amanda Edwards Audiologist · Tyler, TX NPI 1871751636 Kurtis Kostan Internal Medicine Physician · Tyler, TX NPI 1134516172 Tammye Willis Family Nurse Practitioner · Tyler, TX NPI 1598279788 Danielle Dupre Audiologist · Tyler, TX NPI 1285251181
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-02-05.