Individual
KERRI LYNN KEBERLEIN-LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
6420 N PROSPECT AVE, GLADSTONE, MO 64119
(913) 945-9700
(913) 945-9707
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312, WESTWOOD, KS 66205-2005
(913) 588-9000
(913) 588-9822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
154978
MO
363L00000X
Nurse Practitioner
44287
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100250480F
—
KS
01
—
500026194
RR MEDICARE
—
01
—
610311
FIRSTGUARD KUMW UC
—
Enumeration date
06/24/2006
Last updated
04/19/2019
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