Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KALLIE E LANDRY, PA-C
ActiveKALLIE E LANDRY, PA-C is a Physician Assistant healthcare provider located in THIBODAUX, Louisiana. NPI 1114530722 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · THIBODAUX, LA
Registration Details
- NPI Number
- 1114530722
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 25, 2020 (5.9583373944232 yrs)
- Last Updated
- Mar 4, 2026
- License
-
324145 (LA)
Practice Information
- Address
-
726 N ACADIA RD STE 2100THIBODAUX, LA, 703015078Browse LA providers · Browse ZIP 70301
- Phone
- 9854472645
- Fax
- 9854472604
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in THIBODAUX, LA
| Name | Credential | NPI |
|---|---|---|
| MS. NICOLE ORGERON BOURGEOIS | PA-C | 1982796991 |
| SARA COOK STONE | PHYSICIAN ASSISTANT | 1063669521 |
| MICHELLE WAGUESPACK TEASLEY | PA | 1922350594 |
| BROOKE RICHARD | PA-C | 1669841938 |
| DAVID R KESTERSON | PA-C | 1619327087 |
| PAIGE E MORVANT | LAT, ATC | 1750836938 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.