| Doctor Name: | MRS. KATHRYN M LAND |
| NPI Number: | 1518102029 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP 2801262 |
| Business Practice Address: | 1338 South Bvld Chipley, FL - 32428 |
| Business Phone Number: | 8506386240 |
| Business Fax Number: | 8504155010 |
| Mailing Address: | 1338 South Blvd, CHIPLEY |
| State: | FL |
| Postal Code: | 324281846 |
| Phone Number: | 8506386240 |
| Fax Number: | 8504155010 |
| NPI Enumeration Date: | 12/11/2008 |
| NPI Last Update Date: | 12/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP 2801262 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |