Individual provider · Type 1 NPI
Kelly Ly
Physician Assistant · San Jose, CA
Practice location
1371 Goldenlake Rd
San Jose, CA 95131-2525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1003715756
Kelly Ly's National Provider Identifier is 1003715756, issued on Oct 31, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Jose, CA. The record was last updated on Oct 31, 2026.