Ly, Kevin

Ly, Kevin is an individual health care provider with primary practice located at 13670 Walsingham Rd , Largo FL 33774-3532. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ly, Kevin can be contacted via phone (727) 593-9848.

Contact Information

Primary practice address
13670 Walsingham Rd Largo FL 33774-3532
Phone: (727) 593-9848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9112466 Florida

Profile Details

NPI number 1396389656
LBN Legal business name Ly, Kevin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2019
Last updated Apr 17th, 2023 - about 3 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 1396389656 NPPES
Florida MEDICAID 115688400

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