Individual provider · Type 1 NPI

Kevin Ly

Medical Physician Assistant · Campbell, CA

NPI number 1194359141 Active

Practice location

3425 S Bascom Ave Ste 200
Campbell, CA 95008-7300

Mailing address

365 Louise Ct
Milpitas, CA 95035-6026

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1194359141

Kevin Ly's National Provider Identifier is 1194359141, issued on Feb 28, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Campbell, CA. The record was last updated on Feb 28, 2020.