NPI 1093725111

Allen Bruce Jetmore, MD

Practitioner Specialist Leawood, KS

Practice location

Address: 11111 Nall Ave Suite 116, Leawood, KS 66211-1924
Phone: (913) 451-0600
Fax: (913) 451-0601

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 0424436 (KS)

Other Specialist providers in Kansas →

Registry record

NPI: 1093725111
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2006
Record last updated: 29 Aug 2011

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.