Ly, Boremy

Ly, Boremy is an sole proprietor health care provider with primary practice located at 7818 N Hull Ave , Kansas City MO 64151-1532. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Ly, Boremy can be contacted via phone (816) 304-8452.

Contact Information

Primary practice address
7818 N Hull Ave Kansas City MO 64151-1532
Phone: (816) 304-8452
Fax: (816) 468-0742
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 000750 Missouri
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 1200289 Kansas

Profile Details

NPI number 1336245125
LBN Legal business name Ly, Boremy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Feb 28th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336245125 NPPES
Missouri MEDICAID 308630318

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