DR. Allen Bruce Jetmore, MD

NPI #1093725111 in Leawood, Kansas

Provider Information

NPI Number: 1093725111
Entity Type: Individual
Name: DR. Allen Bruce Jetmore, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Aug 9, 2006
Last Updated: Aug 29, 2011

Practice Location

Address: 11111 NALL AVE
Address 2: SUITE 116
City: Leawood
State: Kansas
ZIP Code: 66211-1924
Phone: (913) 451-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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