Healthcare Provider Details

I. General information

NPI: 1578657557
Provider Name (Legal Business Name): LYNN JANET KEPNES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 FRANCIS ST
BOSTON MA
02115-6105
US

IV. Provider business mailing address

34 BROOKFIELD RD
WINTHROP MA
02152-2105
US

V. Phone/Fax

Practice location:
  • Phone: 617-525-6501
  • Fax: 617-525-6511
Mailing address:
  • Phone: 617-846-3816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN106581
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: