Individual provider · Type 1 NPI

Man Kellie Ly, FNP

Family Nurse Practitioner · Montebello, CA

NPI number 1508389701 Active

Practice location

3106 W Beverly Blvd
Montebello, CA 90640-2217

Mailing address

711 W Valley View Dr
Fullerton, CA 92835-4077

Other practice locations

  • 1817 W Beverly Blvd, Montebello, CA 90640-3969 · (323) 721-5524

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse 163WP2201X615128 (CA)
Family Nurse Practitioner Primary 363LF0000X95032279 (CA)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1508389701

Man Kellie Ly, FNP's National Provider Identifier is 1508389701, issued on Jul 19, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Montebello, CA. The record was last updated on Oct 1, 2024.