Dr. Kevin Joseph Staley
M.D. | Child Neurology | 42+ years Exp
55 Fruit Street, Wac 708d, Boston
Massachusetts, 02114
617-643-0363 617-643-0141
Maps & DirectionsDr. Kevin Joseph Staley is a Boston, Massachusetts based neurologist with 42 years of experience in Child Neurology. He completed his graduation from University Of California, San Diego School Of Medicine in 1984. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kevin Joseph Staley is 230011 for Child Neurology in Massachusetts. His current practice location is 55 Fruit Street, Wac 708d, Boston. Patients can reach him at 617-643-0363 or can fax him at 617-643-0141. Dr. Kevin Joseph Staley is M.D. in Child Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1679512065.
Dr. Kevin Joseph Staley specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Complete Profile:
Dr. Kevin Joseph Staley speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Kevin Joseph Staley |
| Specialization: | Child Neurology |
| Gender: | Male |
| Credentials: | M.D. |
| Experience: | 42+ years |
| Medical School Attended: | University Of California, San Diego School Of Medicine |
| Graduation Year: | 1984 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 55 Fruit Street, Wac 708d, Boston,
Massachusetts, 02114 |
| Phone: | 617-643-0363 |
| Fax: | 617-643-0141 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5193723856 |
| Enrollment ID: | I20061114000139 |
| NPI Number: | 1679512065 |
| NPI Enumeration Date: | 04 Jun, 2006 |
| NPI Last Update On: | 26 Dec, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kevin Joseph Staley are as mentioned below.
| License Number | Specialization | State | Status | |
| 230011 | Child Neurology | Massachusetts | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Kevin Joseph Staley is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Massachusetts General Physicians Organization Inc (2466365820) | 2854 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Kevin Joseph Staley
3 Shipway Pl,
Charlestown, Massachusetts |
| Zip: | 02129-4301 |
| Phone Number: | 617-643-0363 |
| Fax Number: | 617-643-0141 |
Patients can reach Dr. Kevin Joseph Staley at
55 Fruit Street, Wac 708d, Boston, Massachusetts or can
call to book an appointment on 617-643-0363.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.