Provider Demographics
NPI:1962471235
Name:ADAMS, KERRI LYNN (ARNP)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:LYNN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 587
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:KS
Mailing Address - Zip Code:67420-0587
Mailing Address - Country:US
Mailing Address - Phone:785-738-2246
Mailing Address - Fax:785-738-4303
Practice Address - Street 1:1005 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:KS
Practice Address - Zip Code:67420-1215
Practice Address - Country:US
Practice Address - Phone:785-738-2246
Practice Address - Fax:785-738-4303
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45347363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200001950AMedicaid
KS161119OtherMEDICARE-RURAL HEALTH
P66819Medicare UPIN
161120Medicare ID - Type Unspecified