Healthcare Provider Details

I. General information

NPI: 1255240842
Provider Name (Legal Business Name): KERRY LYNN SPINDLER LE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 PLEASANT ST STE 104
WINTHROP MA
02152-2769
US

IV. Provider business mailing address

550 PLEASANT ST STE 104
WINTHROP MA
02152-2769
US

V. Phone/Fax

Practice location:
  • Phone: 617-395-0077
  • Fax:
Mailing address:
  • Phone: 617-395-0077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number7077858
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: