Individual
KALLIE E LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
726 N ACADIA RD STE 2100, THIBODAUX, LA 70301-5078
(985) 447-2645
(985) 447-2604
Mailing address
726 N ACADIA RD STE 2100, THIBODAUX, LA 70301-5078
(985) 447-2645
(985) 447-2604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
324145
LA
Other
Enumeration date
08/25/2020
Last updated
03/04/2026
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