Individual provider · Type 1 NPI

Linda Kim Ly, PA-C

Physician Assistant · Las Vegas, NV

NPI number 1891651626 Active

Practice location

10105 Banburry Cross Dr Ste 150
Las Vegas, NV 89144-6647

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1242490 (NV)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1891651626

Linda Kim Ly, PA-C's National Provider Identifier is 1891651626, issued on Dec 24, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 23, 2026.