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Kevin Ly
Medical Physician Assistant in Campbell, California
NPI 1194359141

Kevin Ly is a Medical Physician Assistant based in Milpitas, CA and is specialized in Medical. Kevin Ly practices in Campbell, CA. The NPI Number for Kevin Ly is 1194359141 and holds a License No. (California).

The current practice location address for Kevin Ly is 3425 S Bascom Ave Ste 200, Campbell, CA and can be reached out via phone at 408-256-5292.

Location: 3425 S Bascom Ave Ste 200, Campbell, CA, 95035-6026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194359141
Provider Name
Kevin Ly
Credential
Provider Entity Type
Individual
Gender
Male
Address
3425 S Bascom Ave Ste 200, Campbell, CA, 95035-6026
Phone Number
408-256-5292
Fax Number
Provider Enumeration Date
02/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3425 S Bascom Ave Ste 200
City
Campbell
State
California
Zip
95008-7300
Phone Number
408-256-5292
Fax Number
person
Provider Business Mailing Address Details
Address
3425 S Bascom Ave Ste 200
City
Campbell
State
California
Zip
95008-7300
Phone Number
408-256-5292
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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