KEVIN LY

BLOOMSBURG, PA
NPI1720564289
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  MD475200)
Enumeration Date2018-07-17
Last Update Date2025-09-11
Business Address
KEVIN LY
240 MALL BLVD
BLOOMSBURG, PA 17815-8306
Phone number: 570-784-8303
Mailing Address
KEVIN LY
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-784-8303