Provider Demographics
NPI:1720795925
Name:DR KERRI VACHER LLC
Entity Type:Organization
Organization Name:DR KERRI VACHER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VACHER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C, ND
Authorized Official - Phone:207-322-8922
Mailing Address - Street 1:186 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6149
Mailing Address - Country:US
Mailing Address - Phone:207-322-8922
Mailing Address - Fax:
Practice Address - Street 1:8 JESSE ROBBINS RD STE F
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-7510
Practice Address - Country:US
Practice Address - Phone:207-322-8922
Practice Address - Fax:207-544-5156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care