Individual
MISS ALEXANDRA MARIE LANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1515 S CLIFTON AVE STE 300, WICHITA, KS 67218
(316) 858-0550
(316) 858-0596
Mailing address
1515 S CLIFTON AVE STE 300, WICHITA, KS 67218-2953
(316) 858-0550
(316) 858-0596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501826
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201122810E
—
KS
Enumeration date
09/10/2015
Last updated
03/06/2019
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