Healthcare Provider Details

I. General information

NPI: 1881829604
Provider Name (Legal Business Name): KERI LAYTON N.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2009
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 ALLEN ST STE 4
RUTLAND VT
05701-4564
US

IV. Provider business mailing address

PO BOX 921
WINCHESTER MA
01890-8221
US

V. Phone/Fax

Practice location:
  • Phone: 802-772-7117
  • Fax: 802-488-5716
Mailing address:
  • Phone: 781-604-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number099.0076668
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberND0019
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: