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NPI Code Detail

MEDICARE: KEVIN T LYNCH M.D.

MEDICARE: KEVIN T LYNCH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician346001LA

General Provider Information

NPI Number : 1023542354
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN T LYNCH M.D.
Provider Business Mailing Address
First Line : 6014 WALDEN PL
Second Line :
City : MANDEVILLE
State : LA
Zip : 70448-7045
Country : US
Telephone Number : 919-414-7589
Fax Number :
Provider Business Practice Location Address
First Line : 1001 GAUSE BLVD
Second Line :
City : SLIDELL
State : LA
Zip : 70458-2987
Country : US
Telephone Number : 985-280-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2017
Last Update Date : 08/21/2025

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Directions to “ KEVIN T LYNCH M.D.” Practice Location

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