Individual provider · Type 1 NPI
Kao Nu Ly, PA-C
Surgical Physician Assistant · Charlotte, NC
NPI number
1073560280
Active
Practice location
1718 E 4th St, Suite 805
Charlotte, NC 28204-3260
Fax (704) 376-5933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 104223 (NC) |
Surgical Physician Assistant: Definition to come...
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Other surgical physician assistant providers in Charlotte
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About NPI 1073560280
Kao Nu Ly, PA-C's National Provider Identifier is 1073560280, issued on May 31, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Charlotte, NC. The record was last updated on Jul 13, 2026.