OrganizationActive
Ab Jetmore MD LLC
NPI 1114258886 · Colon & Rectal Surgery Physician · Lenexa, KS
Provider details
- NPI number
- 1114258886
- Entity type
- Organization
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Allen Jetmore, Sole Member
- License
- 04-24436 (KS)
Practice location
21106 W 95th Ter
Lenexa, KS 66220-5600
Phone: (913) 322-8859
Fax: (888) 778-9471
Mailing address
Po Box 7673
Overland Park, KS 66207-0673
Registry dates
- Enumerated
- 2010-01-20
- Last updated
- 2010-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.