Individual provider · Type 1 NPI

Amy Ly

Student in an Organized Health Care Education/Training Program · Kirksville, MO

NPI number 1104639814 Active

Practice location

800 W Jefferson St
Kirksville, MO 63501-1443

Call (425) 953-7026 Map

Mailing address

17517 58th Ave W
Lynnwood, WA 98037-2803

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104639814

Amy Ly's National Provider Identifier is 1104639814, issued on Jan 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kirksville, MO. The record was last updated on Jan 28, 2025.