Healthcare Provider Details

I. General information

NPI: 1477437192
Provider Name (Legal Business Name): MADELEINE ELISABETH KINNEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 PLEASANT ST
FRAMINGHAM MA
01701-4755
US

IV. Provider business mailing address

55 OAKLAND AVE
SEEKONK MA
02771-2336
US

V. Phone/Fax

Practice location:
  • Phone: 508-872-3630
  • Fax:
Mailing address:
  • Phone: 774-955-8457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN2380213
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: