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:PO BOX 110429
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80042-0429
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12605 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2545
Practice Address - Country:US
Practice Address - Phone:720-848-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0438201208800000X
CODR.0066185208800000X
MO2015018667208800000X
IAR-8631208800000X
KS04-38201208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology