| NPI | 1750563458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN DANIEL KETCHUM Proprietor 913-451-8567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: KS 04-14119) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2008-10-27 |