Individual provider · Type 1 NPI

Kyle Mackinnon

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1306518618 Active

Practice location

360 Huntington Ave
Boston, MA 02115-5005

Call (978) 875-2341 Map

Mailing address

8 Green St
Watertown, MA 02472-2352

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306518618

Kyle Mackinnon's National Provider Identifier is 1306518618, issued on Oct 5, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Oct 5, 2021.