Ly, Micki N

Ly, Micki N is an individual health care provider with primary practice located at 89 Hookele St Suite 101, Kahului HI 96732-3513. She recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as her primary health care specialty. Ly, Micki N can be contacted via phone (808) 877-6526.

Contact Information

Primary practice address
89 Hookele St Suite 101 Kahului HI 96732-3513
Phone: (808) 877-6526
Fax: (808) 871-6701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X MD 12031 Hawaii

Profile Details

NPI number 1346299435
LBN Legal business name Ly, Micki N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1346299435 NPPES
Hawaii MEDICAID 508161

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