Provider Demographics
NPI:1851672141
Name:SPENCER, KERI DAWN (NP-C)
Entity type:Individual
Prefix:MRS
First Name:KERI
Middle Name:DAWN
Last Name:SPENCER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:KERI
Other - Middle Name:DAWN
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:9920 E HARRY ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-5008
Mailing Address - Country:US
Mailing Address - Phone:316-265-4295
Mailing Address - Fax:316-265-4339
Practice Address - Street 1:HEARTLAND HOME HEALTH & HOSPICE
Practice Address - Street 2:2872 N RIDGE ROAD SUITE 122
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-1144
Practice Address - Country:US
Practice Address - Phone:316-788-7626
Practice Address - Fax:316-721-5306
Is Sole Proprietor?:No
Enumeration Date:2011-08-31
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75445-111363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner