Kerry Boyle, L.AC.
Individual provider Active NPI Acupuncturist · Montpelier, VT
NPI 1881834331 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1881834331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 091-0000203 (VT)
- Practice address
- 200 Elm St
Montpelier, VT 05602-2205 - Phone
- (802) 223-0954
- NPI assigned
- Feb 24, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091-0000203 | VT | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Acupuncture and Oriental Medicine LLC | Acupuncturist | Current |
Accepting new patients |
Locations
156 Main St
Unit 103
Montpelier, VT 05602
Phone (802) 223-0954
373 Blair Park Rd
Unit 201
Williston, VT 05495
Phone (802) 448-5006
373 Blair Park Rd
Williston, VT 05495
Phone (802) 495-0657
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 091-0000203 | VT | Yes |
Addresses
Primary practice location
200 Elm St
Montpelier, VT 05602-2205
Mailing address
200 Elm St
Montpelier, VT 05602-2205
Phone (802) 223-0954
Other practice location 1
373 Blair Park Rd
Williston, VT 05495-8037
Phone (802) 223-0954
Other names
- Kerry Jenni
Other providers in Montpelier, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.