NPI 1114258886

Ab Jetmore MD LLC

Organisation Colon & Rectal Surgery Physician Lenexa, KS

Practice location

Address: 21106 W 95th Ter, Lenexa, KS 66220-5600
Phone: (913) 322-8859
Fax: (888) 778-9471
Mailing address: PO Box 7673, Overland Park, KS 66207-0673

Authorised official

Name: Allen Bruce Jetmore
Title: Sole Member
Phone: (913) 829-7716

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 04-24436 (KS)

Other Colon & Rectal Surgery providers in Kansas →

Registry record

NPI: 1114258886
Entity type: Organization
NPI issued: 20 Jan 2010
Record last updated: 23 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.