Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Allen Bruce Jetmore, MD

Individual provider Specialist · NPI 1093725111

Dr. Allen Bruce Jetmore, MD is a Colorectal Surgery (Proctology) in Leawood, Kansas. Graduated from Duke University School of Medicine in 1984, 42 years ago. Accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
42
Trained at
Duke University School of Medicine
Licensed in
KS
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11111 Nall Ave Ste 116
Leawood, KS 66211-1924
Phone: (913) 451-0600
Fax: (913) 451-0601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0424436 (KS)

Record details

NPI number1093725111
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESAugust 29, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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