Physician Assistant
KELLY LANDLE P.A.-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1497723217 · enumerated 2006-03-08 · record updated 2019-04-16. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 606 E MAIN ST, KENDRICK, ID, 83537 (208) 289-3841 Fax (208) 289-3961 Google Maps Apple Maps OpenStreetMap
- Mailing address 700 S MAIN ST, MOSCOW, ID, 83843-3046 (208) 882-4511 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License PA-345 ID
- Physician Assistant, Surgical 363AS0400X · License PA10004069 WA
- Physician Assistant, Medical 363AM0700X · License PA10004069 WA
In this directory
Locations and evidence
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Practice location
KENDRICK, ID, 83537
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.