Healthcare Provider Details

I. General information

NPI: 1679444103
Provider Name (Legal Business Name): KERI ELIZABETH LORBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 STONECREST DR
KEARNEY MO
64060-7583
US

IV. Provider business mailing address

1315 STONECREST DR
KEARNEY MO
64060-7583
US

V. Phone/Fax

Practice location:
  • Phone: 816-401-5714
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2025040035
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: