Individual
JAYMI KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 RAVENHILL DR STE 100&107, ATCHISON, KS 66002-9204
(913) 367-7300
(913) 674-2030
Mailing address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-2131
(913) 674-2023
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13-132991-121
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016289150
PTAN
KS
05
—
30005264380001
—
KS
05
—
420154949
—
MO
Enumeration date
05/03/2024
Last updated
02/19/2026
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