Keith Peter Landry M.D.

NPI 1073502670 - Family Medicine - 207Q00000X

NPI Details
NPI 1073502670
Gender Male
Enumeration Date 10/17/2005
Last Updated 05/11/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
51 EAST MARKET STREET
CLOVERDALE IN, 46120, US
Phone (765) 795-4242
Fax (765) 795-4456
Business Location
PO BOX 508
CLOVERDALE IN, 46120-0508, US
Phone (765) 795-4242
Fax (765) 795-4456
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 01057298A
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According to our database, Dr. Keith Peter Landry M.D. NPI is 1073502670, taxonomy code is 207Q00000X and license number is 01057298A, license state is located at Indiana. Keith Peter Landry M.D. physically located at 51 East Market Street, Cloverdale IN, 46120. NPI Number Keith Peter Landry M.D. has the Individual type.

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1073502670 NPI number is provided on an as is basis without warranty of any kind. 1073502670 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Peter Landry M.D. are for informational purposes only.