IndividualActive
Allen Jetmore, MD
NPI 1093725111 · Specialist · Leawood, KS
Provider details
- NPI number
- 1093725111
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0424436 (KS)
Specialties & taxonomies
Other Service Providers
Practice location
11111 Nall Ave
Suite 116
Leawood, KS 66211-1924
Phone: (913) 451-0600
Fax: (913) 451-0601
Approximate (ZIP-level) locationGet directions
Mailing address
11111 Nall Ave
Leawood, KS 66211-1924
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2011-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.