Provider Demographics
NPI:1619102746
Name:THURMON, KERRI LYNN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KERRI
Middle Name:LYNN
Last Name:THURMON
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:KERRI
Other - Middle Name:LYNN
Other - Last Name:THURMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:3901 RAINBOW BLVD # MS 3016
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:913-588-7564
Mailing Address - Fax:913-588-7625
Practice Address - Street 1:3901 RAINBOW BLVD # MS 3016
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-3115
Practice Address - Country:US
Practice Address - Phone:913-588-7564
Practice Address - Fax:913-588-7564
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-8631208800000X
KS0438201208800000X
MO2015018667208800000X
390200000X
KS04-38201208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program