Organization
LYNN D. KETCHUM, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN DANIEL KETCHUM M.D. (PROPRIETOR)
(913) 451-8567
Entity
Organization
Contact information
Practice address
11111 NALL AVE, STE 114, LEAWOOD, KS 66211-1625
(913) 451-8567
(913) 451-8568
Mailing address
11111 NALL AVE, STE 114, LEAWOOD, KS 66211-1625
(913) 451-8567
(913) 451-8568
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
04-14119
KS
Other
Enumeration date
12/04/2007
Last updated
10/27/2008
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