IndividualActive
Kevin Landry, CST/CSFA
NPI 1811279128 · Surgical Assistant · Maurice, LA
Provider details
- NPI number
- 1811279128
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CST/CSFA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 91262 (LA)
Mailing address
301 Village Park Dr
Maurice, LA 70555-4441
Registry dates
- Enumerated
- 2011-09-13
- Last updated
- 2011-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.