Individual provider · Type 1 NPI

Kevin Ly

Professional Counselor · Oklahoma City, OK

NPI number 1073394201 Active

Practice location

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104

Mailing address

1900 NW 176th St
Edmond, OK 73012-6982

Other practice locations

  • 6051 N Brookline Ave Ste 112, Oklahoma City, OK 73112-4286 · (405) 810-0054

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1073394201

Kevin Ly's National Provider Identifier is 1073394201, issued on Oct 12, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oklahoma City, OK. The record was last updated on Mar 26, 2024.