Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALLEN BRUCE JETMORE, MD
ActiveSpecialist · LEAWOOD, KS
Registration Details
- NPI Number
- 1093725111
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2006 (19.727231136955 yrs)
- Last Updated
- Aug 29, 2011
- License
-
0424436 (KS)
Practice Information
- Address
-
11111 NALL AVESUITE 116LEAWOOD, KS, 662111924Browse KS providers · Browse ZIP 66211
- Phone
- 9134510600
- Fax
- 9134510601
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LEAWOOD, KS
| Name | Credential | NPI |
|---|---|---|
| DANIEL J GEHA | M.D. | 1780689885 |
| DR. STEPHEN KEITH BUBB | M.D. | 1730187741 |
| DR. LYNN DANIEL KETCHUM | M.D. | 1942209366 |
| DR. RICHARD JOHN BENE | M.D. | 1922059914 |
| DR. REGINA MARIE NOUHAN | M.D. | 1104877190 |
| DR. KEITH R HODGE | M.D. | 1154373082 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.