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DR. LYNN DANIEL KETCHUM M.D.
NPI 1942209366
Specialist in Leawood, KS

Active since July 18, 2005
11111 NALL AVE, SUITE 114, LEAWOOD, KS 66211(913) 451-8567(913) 451-8568 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lynn Daniel Ketchum M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LYNN DANIEL KETCHUM M.D. (NPI 1942209366) is an individual specialist in Leawood, Kansas, licensed in Kansas (04-14119) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1942209366
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. LYNN DANIEL KETCHUMCredential: M.D.
Location Address11111 NALL AVE, SUITE 114Leawood, KS 66211-1925
Mailing Address11111 Nall Ave, Suite 114Leawood, KS 66211-1925 · (913) 451-8567 · Fax (913) 451-8568
Phone(913) 451-8567
Fax(913) 451-8568
Sole ProprietorYes
Enumeration DateJuly 18, 2005
Last NPPES UpdateOctober 28, 2008
✔ NPI 1942209366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in KS · 04-14119
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11111 NALL AVE, Leawood, KS 66211
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Other Identifiers 4

Medicare UPINC52303KS
Medicare ID-Type Unspecified5880938KS
Other07649010KS · Bcbs Of Kansas City
Other0000026293KS · Bcbs Of Kansas

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEBORAH LYNN CARLE PH.D.
Psychologist (Clinical)
11111 NALL AVE, SUITE 224
LEAWOOD, KS 66211
Johnson County (913) 549-4390
DR. STEVEN HENDLER M.D.
Physical Medicine & Rehabilitation
11111 NALL AVE, # 222
LEAWOOD, KS 66211
Johnson County (913) 338-5448
DR. ALLEN BRUCE JETMORE MD
Specialist
11111 NALL AVE, SUITE 116
LEAWOOD, KS 66211
Johnson County (913) 451-0600
ELH NETWORK, LLC
Preferred Provider Organization
11111 NALL AVE, SUITE 220
LEAWOOD, KS 66211
Johnson County (913) 491-6984
MS. SHIRLEY WARING
Counselor (Mental Health)
11111 NALL AVE, SUITE 103
LEAWOOD, KS 66211
Johnson County (913) 710-2040
ANGELA GIEGERICH NP-C
Nurse Practitioner
11111 NALL AVE, SUITE 222
LEAWOOD, KS 66211
Johnson County (913) 338-5448
ILENE BETH GRUNSPAN LSCSW, CEAP
Social Worker (Clinical)
11111 NALL AVE, SUITE 103
LEAWOOD, KS 66211
Johnson County (913) 832-0366
SPECIAL CARE DENTAL OF KANSAS, LLC
Dentist
11111 NALL AVE, SUITE 100
LEAWOOD, KS 66211
Johnson County (502) 244-2441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynn Ketchum's NPI number?

The NPI number for Lynn Ketchum is 1942209366. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Lynn Ketchum located?

Lynn Ketchum practices at 11111 Nall Ave Suite 114, Leawood, KS 66211. The listed phone number is (913) 451-8567.

What is Lynn Ketchum's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lynn Ketchum was last updated on October 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.