Individual
KATHLEEN LANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2000 MEDICAL PKWY, SUITE 605, ANNAPOLIS, MD 21401-3742
(410) 266-5667
(410) 266-9332
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6460
(443) 481-6515
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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