Kim, Ly

Kim, Ly is an individual health care provider with primary practice located at 3313 Pacolet Dr , Greenville NC 27834-6035. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Kim, Ly can be contacted via phone (336) 508-0935.

Contact Information

Primary practice address
3313 Pacolet Dr Greenville NC 27834-6035
Phone: (336) 508-0935
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AG02220122 North Carolina

Profile Details

NPI number 1295466282
LBN Legal business name Kim, Ly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2022
Last updated Jun 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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