KEVIN LY

LARGO, FL
NPI1396389656
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: FL  PA9112466)
Enumeration Date2019-10-30
Last Update Date2023-04-17
Business Address
KEVIN LY PA
13670 WALSINGHAM RD
LARGO, FL 33774-3532
Phone number: 727-593-9848
Mailing Address
KEVIN LY PA
11921 N DALE MABRY HWY
TAMPA, FL 33618-3512
Phone number: 813-609-3635
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