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Contact Information

KIM C LANDIS, MD
24261 GREENFIELD RD
SOUTHFIELD, MI48075-3117
 Phone: 248-569-8151
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KIM C LANDIS · (Female)

NPI Number 1255440178
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301052674
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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