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Individual
KATHLEEN LANDERS
Active
Individual
KATHLEEN LANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX2465
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444310100
—
MD
01
—
Y9100002
BCBS
MD
Enumeration date
09/05/2013
Last updated
12/09/2013
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