Kim C Landis in Southfield - Adolescent Medicine

Kim C Landis - NPI 1255440178

Kim C Landis is a Adolescent Medicine in Southfield, Michigan. Kim C Landis practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Kim C Landis is 1255440178. The last update date is 2007-07-08.

Kim C Landis's current location address is 24261 Greenfield Rd, Southfield, Michigan. You can contact this provider via phone number 2485698151. The mailing address for Kim C Landis is 24261 Greenfield Rd, Southfield, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim C Landis
Address 24261 Greenfield Rd, Southfield, Michigan
Phone Number 2485698151
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1255440178
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 24261 Greenfield Rd
City Southfield
State Michigan (MI)
Post Code 480753117
Phone Number 2485698151
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 207Qa0000X
Licence No 4301052674
Definition:
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

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FAQs about Kim C Landis

What is the unique provider identifier assigned to Kim C Landis?

The Kim C Landis has been issued the NPI (National Provider Identifier) 1255440178 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Kim C Landis is physically located?

The Kim C Landis is physically situated at the following address: 24261 Greenfield Rd, Southfield, MI, 480753117.

What is the Kim C Landis's area of specialization and corresponding taxonomy classification?

The Kim C Landis's specialty field is Adolescent Medicine, and it falls under the taxonomy code 207Qa0000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1255440178 to Kim C Landis?

The Kim C Landis received its 1255440178 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.

When was the Kim C Landis's information last updated?

The Kim C Landis's information was last updated on 2007-07-08.

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