Individual
MR. KENNETH JOHN LANDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 SOUTHSIDE AVE, SUITE350, ASHEVILLE, NC 28801-4160
(828) 277-4810
Mailing address
PO BOX 890291, CHARLOTTE, NC 28289-0291
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015-02371
NC
207Q00000X
Family Medicine Physician
MD059269L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588631337
—
NC
05
—
1590117
—
PA
Enumeration date
03/01/2006
Last updated
03/25/2016
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