Individual
KADRIYE ANN LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 HOSPITAL DR, KINGFISHER, OK 73750-5029
(405) 375-3141
Mailing address
1000 HOSPITAL DR, KINGFISHER, OK 73750-5029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5113
OK
Other
Enumeration date
11/10/2023
Last updated
03/05/2026
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