AB JETMORE MD LLC

LENEXA, KS
NPI1114258886
Entity TypeOrganization
Authorized ContactALLEN BRUCE JETMORE
Sole Member
913-829-7716
Organization Subpart ?No
Primary Taxonomy208C00000X Colon & Rectal Surgery
(Licence: KS  04-24436)
Enumeration Date2010-01-20
Last Update Date2010-12-23
Business Address
AB JETMORE MD LLC
21106 W 95TH TER
LENEXA, KS 66220-5600
Phone number: 913-322-8859
Mailing Address
AB JETMORE MD LLC
PO BOX 7673
OVERLAND PARK, KS 66207-0673
Phone number: 913-322-8859