Ly, Kelly

Ly, Kelly is an individual health care provider with primary practice located at 3800 Rosedale Hwy , Bakersfield CA 93308-6235. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ly, Kelly can be contacted via phone (714) 902-4996.

Contact Information

Primary practice address
3800 Rosedale Hwy Bakersfield CA 93308-6235
Phone: (714) 902-4996
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2114 Arizona
Eye and Vision Services Providers / Optometrist 152W00000X 33813 California

Profile Details

NPI number 1447603394
LBN Legal business name Ly, Kelly
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2016
Last updated Nov 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447603394 NPPES
California MEDICAID 163868

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