Ab Jetmore MD LLC

NPI #1114258886 in Lenexa, Kansas

Provider Information

NPI Number: 1114258886
Entity Type: Organization
Organization Name: Ab Jetmore MD LLC
Primary Specialty: Colon & Rectal Surgery
Enumeration Date: Jan 20, 2010
Last Updated: Dec 23, 2010

Practice Location

Address: 21106 W 95TH TER
City: Lenexa
State: Kansas
ZIP Code: 66220-5600
Phone: (913) 322-8859

Authorized Official

Name: DR. ALLEN BRUCE JETMORE, MD
Title: SOLE MEMBER
Phone: (913) 829-7716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Colon & Rectal Surgery	208C00000X	Primary

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