Kevin Paul Landry, CST/CSFA
Individual provider Active NPI Surgical Assistant · Maurice, LA
NPI 1811279128 · NPPES record last updated Sep 13, 2011
Key facts
- NPI
- 1811279128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- License
- 91262 (LA)
- Practice address
- 301 Village Park Dr
Maurice, LA 70555-4441 - Phone
- (337) 517-8738
- NPI assigned
- Sep 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91262 | LA | MD | Surgical Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 91262 | LA | Yes |
Addresses
Primary practice location
301 Village Park Dr
Maurice, LA 70555-4441
Mailing address
301 Village Park Dr
Maurice, LA 70555-4441
Phone (337) 517-8738
Other providers in Maurice, LA
- Alexis Jones
- Sarah Jones
- Sharnell Renee Kately Bennett
- Lindsey Lobell Kelehan
- Kerry M Schexnaider Internal Medicine Group LLC
- Landrys Pharmacy of Maurice Inc
- Kylie Langlinais
- Melissa Leblanc
- Shilpa Listi
- Little Flower Pediatric Dentistry, LLC
All providers in Maurice, LA · Surgical Assistant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.