Individual provider · Type 1 NPI

Kelly Marie Landle, P.A.-C

Physician Assistant · Kendrick, ID

NPI number 1497723217 Active

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

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-345 (ID)
Surgical Physician Assistant 363AS0400XPA10004069 (WA)
Medical Physician Assistant 363AM0700XPA10004069 (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.