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NPI Code Detail

MEDICARE: R. KENNETH LANDOW, M.D. LTD

MEDICARE: R. KENNETH LANDOW, M.D. LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist3343NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235346016
Entity Type Code : Organization
Provider Name (Legal Business Name) : R. KENNETH LANDOW, M.D. LTD
Provider Business Mailing Address
First Line : 10080 ALTA DR
Second Line : SUITE 120
City : LAS VEGAS
State : NV
Zip : 89145-8723
Country : US
Telephone Number : 702-451-3376
Fax Number : 702-451-0041
Provider Business Practice Location Address
First Line : 10080 ALTA DR
Second Line : SUITE 120
City : LAS VEGAS
State : NV
Zip : 89145-8723
Country : US
Telephone Number : 702-451-3376
Fax Number : 702-451-0041
Authorized Official
Title or Position : PHYSICIAN
Name : R. KENNETH LANDOW
Credential : M.D.
Telephone Number : 702-451-3376
Provider Enumeration Date : 05/17/2007
Last Update Date : 12/28/2012

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