Healthcare Provider Details

I. General information

NPI: 1588602320
Provider Name (Legal Business Name): KRISTIN ANN LYNCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

193 LOCUST ST
NORTHAMPTON MA
01060-2056
US

IV. Provider business mailing address

193 LOCUST ST
NORTHAMPTON MA
01060-2056
US

V. Phone/Fax

Practice location:
  • Phone: 413-584-8700
  • Fax: 134-584-1714
Mailing address:
  • Phone: 413-584-8700
  • Fax: 413-584-1714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number379413-1205
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number273356
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: