Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathryn E. Wynne, MD

Individual provider Pediatrics Physician · NPI 1619239050

Kathryn E. Wynne, MD is a Pediatrics Physician in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2012.

Licensed in
MA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-1000
Fax: (774) 443-7989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 262384 (MA)

Record details

NPI number1619239050
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2012
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing addressPo Box 415348, Boston, MA 02241-5348

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