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Kevin Ly, PA
Medical Physician Assistant in Largo, Florida
NPI 1396389656

Kevin Ly is a Medical Physician Assistant based in Tampa, FL and is specialized in Medical. Kevin Ly practices in Largo, FL and has the professional credentials of PA. The NPI Number for Kevin Ly is 1396389656 and holds a License No. PA9112466 (Florida).

The current practice location address for Kevin Ly is 13670 Walsingham Rd, Largo, FL and can be reached out via phone at 727-593-9848.

Location: 13670 Walsingham Rd, Largo, FL, 33618-3512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396389656
Provider Name
Kevin Ly
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
13670 Walsingham Rd, Largo, FL, 33618-3512
Phone Number
727-593-9848
Fax Number
Provider Enumeration Date
10/30/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
115688400 05 FL
institution
Provider Business Practice Location Address Details
Address
13670 Walsingham Rd
City
Largo
State
Florida
Zip
33774-3532
Phone Number
727-593-9848
Fax Number
person
Provider Business Mailing Address Details
Address
13670 Walsingham Rd
City
Largo
State
Florida
Zip
33774-3532
Phone Number
727-593-9848
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9112466 (Florida)
Definition
Definition to come...
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