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

Kyle Mackinnon

Individual provider Physician Assistant · NPI 1306518618

Kyle Mackinnon is a Physician Assistant in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Cora Health Services Inc, a 1,144-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
4
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

360 Huntington Ave
Boston, MA 02115-5005
Phone: (978) 875-2341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1306518618
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 5, 2021
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cora Health Services Inc — 1144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Boston