Individual provider · Type 1 NPI

Bao-Khuyen Nguyen Ly, PA-C

Medical Physician Assistant · Largo, FL

NPI number 1972149672 Active

Practice location

13670 Walsingham Rd
Largo, FL 33774-3532

Mailing address

11921 N Dale Mabry Hwy
Tampa, FL 33618-3512

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9112468 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1972149672

Bao-Khuyen Nguyen Ly, PA-C's National Provider Identifier is 1972149672, issued on Nov 18, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Largo, FL. The record was last updated on Apr 17, 2023.