Individual provider · Type 1 NPI
Kelly Marie Landle, P.A.-C
Physician Assistant · Kendrick, ID
Practice location
606 E Main St
Kendrick, ID 83537
Fax (208) 289-3961
Mailing address
700 S Main St
Moscow, ID 83843-3046
Other practice locations
- 320 Warner Dr, Lewiston, ID 83501-4441 · (208) 743-3523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-345 (ID) |
| Surgical Physician Assistant | 363AS0400X | PA10004069 (WA) |
| Medical Physician Assistant | 363AM0700X | PA10004069 (WA) |
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…
2 other providers at this address
About NPI 1497723217
Kelly Marie Landle, P.A.-C's National Provider Identifier is 1497723217, issued on Mar 8, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kendrick, ID. The record was last updated on Apr 16, 2019.