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Individual

DR. KEVIN JEFFREY LAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1524 W 14TH ST STE 120, TEMPE, AZ 85281-6974
(602) 343-7201
Mailing address
28173 RUFFIAN DR, FAIR OAKS, TX 78015-4807
(817) 412-5610
(817) 412-5991

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K1263
TX
207ZB0001X
Blood Banking & Transfusion Medicine Physician
46104
CO
207ZB0001X
Blood Banking & Transfusion Medicine Physician
53404
AZ
207ZB0001X
Blood Banking & Transfusion Medicine Physician
K2163
TX
207ZB0001X
Blood Banking & Transfusion Medicine Physician
MD488369C
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015085801
TX
01
10278790
PDMP
CO
Enumeration date
06/05/2006
Last updated
09/09/2025
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