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LYNN D. KETCHUM M.D. NPI 1750563458


NPI Information

NPI: 1750563458
Provider Name: LYNN D. KETCHUM, M.D.
Classification: Plastic Surgery - 2082S0105X
Entity Type: Organization

Specialization: Surgery of the Hand

Address:
11111 NALL AVE
STE 114
LEAWOOD, KS
ZIP 66211
Phone: (913) 451-8567
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LYNN D. KETCHUM, M.D. is a surgery of the hand plastic surgery in Leawood, KS. The provider is a plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. LYNN D. KETCHUM, M.D. NPI is 1750563458. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11111 NALL AVE
STE 114
LEAWOOD, KS
ZIP 66211-625
Phone: (913) 451-8567
Fax: (913) 451-8568

The provider's authorized official is Lynn Daniel Ketchum .
The authorized official title is Proprietor and has the following contact phone number (913) 451-8567.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 10/27/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12082S0105XPlastic SurgerySurgery of the Hand04-14119KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15880000MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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