KELLY MARIE LANDLE (P.A.-C) – Physician Assistant, NPI 1497723217
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KELLY MARIE LANDLE (P.A.-C)
320 Warner Dr
Lewiston, ID 835014441
Phone: (208) 743-3523
Fax: (208) 746-8741
Type: Location
Gritman Medical Center, 700, South Main Street, Moscow, Latah County, Idaho, 83843, United States
MOSCOW, ID 838433046
Phone: (208) 882-4511
Type: Mailing
Main Street, Kendrick, Latah County, Idaho, 83537, United States
KENDRICK, ID 83537
Phone: (208) 289-3841
Fax: (208) 289-3961
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83501)
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