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Individual

CHARLES S LANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2117 KEYSTONE CIR, ANDOVER, KS 67002-8749
(316) 733-5120
(316) 733-1280
Mailing address
2117 KEYSTONE CIR, ANDOVER, KS 67002-8749
(316) 733-5120
(316) 733-1280

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-01584
KS
363AM0700X
Medical Physician Assistant
Primary
15-01584
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200972720A
KS
Enumeration date
11/08/2012
Last updated
06/10/2025
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