Individual
DAWN M KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4800 W 135TH ST, LEAWOOD, KS 66224
(913) 428-8000
Mailing address
757 ARMSTRONG AVE, KANSAS CITY, KS 66101-2701
(913) 233-3300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2012009899
MO
363LF0000X
Family Nurse Practitioner
Primary
53-75650-121
KS
Other
Enumeration date
05/03/2012
Last updated
07/09/2018
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