Individual
MARK E LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
10550 QUIVIRA RD, SUITE 260, OVERLAND PARK, KS 66215-2375
(913) 438-9898
(913) 438-9899
Mailing address
10550 QUIVIRA RD, SUITE 260, OVERLAND PARK, KS 66215-2375
(913) 438-9898
(913) 438-9899
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
000415
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
12-00167
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015070
BC KS
—
01
—
06651156
BC
—
01
—
480018248
RR MCR
—
Enumeration date
09/30/2005
Last updated
04/17/2017
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