Provider Demographics
NPI:1568736510
Name:HARKNESS, KERRI LYNN (NP)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:LYNN
Last Name:HARKNESS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:KERRI
Other - Middle Name:LYNN
Other - Last Name:CREWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8765 N AMBASSADOR DRIVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64154-2540
Mailing Address - Country:US
Mailing Address - Phone:913-297-7472
Mailing Address - Fax:816-382-3435
Practice Address - Street 1:8765 N AMBASSADOR DRIVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154-2540
Practice Address - Country:US
Practice Address - Phone:913-297-7472
Practice Address - Fax:816-382-3435
Is Sole Proprietor?:No
Enumeration Date:2012-03-07
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012005452363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily