person
Mrs. Man Kellie Ly, FNP
Family Nurse Practitioner in Montebello, California
NPI 1508389701

Man Kellie Ly is a Family Nurse Practitioner based in Fullerton, CA and is specialized in Family. Man Kellie Ly practices in Montebello, CA and has the professional credentials of FNP. The NPI Number for Man Kellie Ly is 1508389701 and holds a License No. 615128 (California).

The current practice location address for Man Kellie Ly is 3106 W Beverly Blvd, Montebello, CA and can be reached out via phone at 323-728-1274.

Location: 3106 W Beverly Blvd, Montebello, CA, 92835-4077
person
Provider Profile Details
NPI Number
1508389701
Provider Name
Man Kellie Ly
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3106 W Beverly Blvd, Montebello, CA, 92835-4077
Phone Number
323-728-1274
Fax Number
Provider Enumeration Date
07/19/2017
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
3106 W Beverly Blvd
City
State
Zip
90640-2217
Phone Number
323-728-1274
Fax Number
person
Provider Business Mailing Address Details
Address
3106 W Beverly Blvd
City
State
Zip
90640-2217
Phone Number
323-728-1274
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Ambulatory Care
Taxonomy
License No.
95032279 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
615128 (California)
Definition
Definition to come...
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