DR. Lynn Daniel Ketchum, M.D.

NPI #1942209366 in Leawood, Kansas

Provider Information

NPI Number: 1942209366
Entity Type: Individual
Name: DR. Lynn Daniel Ketchum, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Jul 18, 2005
Last Updated: Oct 28, 2008

Practice Location

Address: 11111 NALL AVE
Address 2: SUITE 114
City: Leawood
State: Kansas
ZIP Code: 66211-1925
Phone: (913) 451-8567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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