Kennebunk Walk-in Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD14675 Issued in ME

Legal business name

KENNEBUNK WALK-IN CLINIC

Doing business as

Family Practice on the River

Practice address

62 Portland Rd Ste 47
Kennebunk, ME 04043-6650

Phone

(207) 502-7386

Fax

(207) 502-7661

NPI assigned

Apr 29, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick Butcher

Title

Business Manager

Phone

(207) 502-7386

Specialties & licenses 1

Addresses

Other names 1

• Family Practice on the River Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen McKeon, NP-C

  • Family Nurse Practitioner
  • Kennebunk, ME
  • NPI 1649427329
  NPD
• Meredith B Ryan, NP

  • Family Nurse Practitioner
  • Kennebunk, ME
  • NPI 1013658988
  NPD
• Caroline Joy Wilmot, CNP

  • Primary Care Nurse Practitioner
  • Portland, ME
  • NPI 1578085544

  Family Medicine

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1427403245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "KENNEBUNKPORT",
            "state": "ME",
            "postal_code": "040461100",
            "telephone_number": "207-502-7386",
            "fax_number": "207-502-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 PORTLAND RD STE 47",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436650",
            "telephone_number": "207-502-7386",
            "fax_number": "207-502-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEBUNK WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "BUTCHER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "207-502-7386"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD14675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice on the River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kennebunk Good for All Pharmacy
• Kennebunk Nursing and Rehab Center
• Kennebunk Operations, LLC (RiverRidge Center)
• Kennebunk Operations, LLC (RiverRidge Center)
• Kennebunk Operations, LLC (RiverRidge Center)
• Kenneth D Warren DPM PLLC
• Alex Kerbaugh, DMD
• Bruce Britton Kerr, PHD
• Fran S Kessler, LCSW
• Kim Davis LCSW LLC

• Family Medicine Physician in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.