Individual provider · Type 1 NPI

Kallie E. Landry, PA-C

Physician Assistant · Thibodaux, LA

NPI number 1114530722 Active

Practice location

726 N Acadia Rd Ste 2100
Thibodaux, LA 70301-5078

Fax (985) 447-2604

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X324145 (LA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114530722

Kallie E. Landry, PA-C's National Provider Identifier is 1114530722, issued on Aug 25, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Thibodaux, LA. The record was last updated on Mar 4, 2026.