Active NPIIndividual provider

Jack Kinlan

Health & Wellness Coach in Chestnut Hill, Massachusetts

NPI Number1265364640
Practice location
15 Lee RD, Chestnut Hill, MA 02467-1324
Fax
—
Last updated
June 1, 2026

Jack Kinlan is a Health & Wellness Coach based in Chestnut Hill, MA. Jack Kinlan practices in Chestnut Hill, MA. The NPI Number for Jack Kinlan is 1265364640. The current practice location address for Jack Kinlan is 15 Lee RD, Chestnut Hill, MA 02467-1324 and can be reached out via phone at 617-416-8393.

Provider Profile Details

NPI Number
1265364640
Provider Name
Jack Kinlan
Provider Entity Type
Individual
Gender
Male
Address
15 Lee RD, Chestnut Hill, MA 02467-1324
Phone Number
617-416-8393
Primary Taxonomy
Health & Wellness Coach · 171400000X
Sole Proprietor
No
Provider Enumeration Date
June 1, 2026
Last Update Date
June 1, 2026
Certification Date
June 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Lee RD
Chestnut Hill, MA 02467-1324
Zip
02467-1324
Phone Number
617-416-8393
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
15 Lee RD
Chestnut Hill, MA 02467-1324
City
Chestnut Hill
State
MA
Zip
02467-1324
Phone Number
617-416-8393

License Information

Taxonomy
Health & Wellness Coach · 171400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jack Kinlan?

The NPI number of Jack Kinlan is 1265364640. It was assigned on June 1, 2026 and is currently active in the NPPES registry.

What is the specialty of Jack Kinlan?

Jack Kinlan is registered under the primary taxonomy Health & Wellness Coach (code 171400000X).

Where does Jack Kinlan practice?

The practice location is 15 Lee RD, Chestnut Hill, MA 02467-1324. The office can be reached at 617-416-8393 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265364640 directly on the NPPES registry website.

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