Lynn Daniel Ketchum, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

04-14119 Issued in KS

Practice address

11111 Nall Ave
Suite 114
Leawood, KS 66211-1925

Phone

(913) 451-8567

Fax

(913) 451-8568

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lynn D. Ketchum, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Leawood, KS
  • NPI 1750563458
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1942209366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 NALL AVE",
            "address_2": "SUITE 114",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111925",
            "telephone_number": "913-451-8567",
            "fax_number": "913-451-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 NALL AVE",
            "address_2": "SUITE 114",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111925",
            "telephone_number": "913-451-8567",
            "fax_number": "913-451-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHUM",
        "first_name": "LYNN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-14119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "0000026293",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "07649010",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Kennedy, PHARMD
• Geoffrey Kerns, DDS
• Courtney Danielle Kerr, RD, LD
• Emily Kerr, M.S., CCC-SLP
• Jennifer Kessler
• Kevin H. Connaghan PA
• Catherine Khalil
• Pratibha Khare, MD
• Mariam Khoury, MS, CCC-SLP
• Alisha Kidd

• Specialist in Leawood, KS
• Providers in Leawood, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.