NPI
Ab Jetmore MD LLC
NPI 1114258886
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2010-01-20
- Last updated
- 2010-12-23
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Specialties
Licenses
- License KS
- 04-24436
Location
- Practice location
- 21106 W 95th Ter
- City
- Lenexa KS
- Postal code
- 66220-5600
- Phone
- (913) 322-8859
Organization contact
- Name
- Allen Jetmore
- Title
- Sole Member
- Phone
- (913) 829-7716
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Lenexa, KS. 1,910 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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