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Kelly Landle, P.A.-C
NPI 1497723217 · on the registry since 2006
Practice
- Address
- 606 E Main St
Kendrick, ID 83537 - Phone
- (208) 289-3841
- Fax
- (208) 289-3961
- Organisation at this address
- Gritman Medical Center Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 320 Warner Dr, Lewiston, ID
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Surgical Physician Assistant
Medical Physician Assistant - Licence states on file
- ID, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho