Provider Demographics
NPI:1174560817
Name:KINCH, LINDA MUSETTI (MD)
Entity type:Individual
Prefix:
First Name:LINDA MUSETTI
Middle Name:
Last Name:KINCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 EISENHOWER CIR
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-7120
Mailing Address - Country:US
Mailing Address - Phone:781-235-1533
Mailing Address - Fax:
Practice Address - Street 1:325 CHELMSFORD ST UNIT 6
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-4429
Practice Address - Country:US
Practice Address - Phone:978-644-0863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA74977207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine