KIM C. LANDIS MD – NPI #1255440178
Family Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

KIM LANDIS is a physician located in SOUTHFIELD, MI. NPPES has assigned the NPI number 1255440178 to KIM LANDIS on August 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIM LANDIS below.

NPI Profile for
KIM C. LANDIS

NPI Number
1255440178
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KIM C. LANDIS
Credentials
MD
Primary location
24261 GREENFIELD RD
SOUTHFIELD, MI 48075-3117
Phone: (248) 569-8151 Fax:
Mailing address
9319 HARBOR COVE CIR
APT # 112
WHITMORE LAKE, MI 48189-8216
Phone: (248) 544-5606 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0000X
- Family Medicine / Adolescent Medicine (Primary)
MI 4301052674

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.