KELLY LY NPI 1073885745

NPI Information

NPI: 1073885745
Provider Name: KELLY LY
Classification: Specialist/Technologist - 2355S0801X
Entity Type: Individual

Specialization: Speech-Language Assistant

Address:
328 NORTHBANK CT APT 37
STOCKTON, CA
ZIP 95207
Phone: (209) 323-8655
Get Directions

Kelly Ly is a speech-language assistant specialist technologist in Stockton, CA. Kelly Ly NPI is 1073885745. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

328 NORTHBANK CT APT 37
STOCKTON, CA
ZIP 95207-611
Phone: (209) 323-8655

The enumeration date for this NPI number is 1/27/2012 and was last updated on 1/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2355S0801X	Specialist/Technologist	Speech-Language Assistant	SPA 727	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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