Kallie E Landry, PA-C Valid NPI

Individual provider · Physician Assistant · Thibodaux, LA

NPI

1114530722

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

324145 (LA)

Sex

Female

Sole proprietor

No

Enumerated

2020-08-25

Last updated

2026-03-04