person
Dr. Lynn Daniel Ketchum, MD
Specialist in Leawood, Kansas
NPI 1942209366

Lynn Daniel Ketchum is a Specialist based in Leawood, KS. Lynn Daniel Ketchum practices in Leawood, KS and has the professional credentials of MD. The NPI Number for Lynn Daniel Ketchum is 1942209366 and holds a License No. 04-14119 (Kansas).

The current practice location address for Lynn Daniel Ketchum is 11111 Nall Ave, Leawood, KS and can be reached out via phone at 913-451-8567 and via fax at 913-451-8568. You can also correspond with Lynn Daniel Ketchum through the mailing address at 11111 NALL AVE, LEAWOOD, KS - 66211-1925 (mailing address contact number: 913-451-8567).

Location: 11111 Nall Ave, Leawood, KS, 66211-1925
person
Provider Profile Details
NPI Number
1942209366
Provider Name
Lynn Daniel Ketchum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11111 Nall Ave, Leawood, KS, 66211-1925
Phone Number
913-451-8567
Fax Number
913-451-8568
Provider Enumeration Date
07/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000026293 01 KS BCBS OF KANSAS
07649010 01 KS BCBS OF KANSAS CITY
institution
Provider Business Practice Location Address Details
Address
11111 Nall Ave
City
State
Zip
66211-1925
Phone Number
913-451-8567
Fax Number
913-451-8568
person
Provider Business Mailing Address Details
Address
11111 Nall Ave
City
State
Zip
66211-1925
Phone Number
913-451-8567
Fax Number
913-451-8568
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
04-14119 (Kansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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