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

Mr. Kenneth A Lynch Jr., RNP

Individual provider Nurse Practitioner · NPI 1063541233

Mr. Kenneth A Lynch Jr., RNP is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2006, 20 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
20
Licensed in
RI
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

593 Eddy Street Apc 4
Providence, RI 02903
Phone: (401) 444-8393
Fax: (401) 444-6681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Dudley St, Providence, RI 02905-3236 — (401) 444-6464

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN00679 (RI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NPP37406 (RI)

Record details

NPI number1063541233
Entity typeIndividual (Type 1)
GenderMale
Credentials RNP
Sole proprietorNo
NPI enumeratedMarch 5, 2007
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence