Individual
DR. PAUL KY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6169 N THESTA ST, FRESNO, CA 93710-5266
(559) 435-1757
(559) 435-1768
Mailing address
6769 N FRESNO ST, STE. 206, FRESNO, CA 93710-3715
(559) 435-1757
(559) 435-1768
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
20A-10743
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
20A-10743
CA
Other
Enumeration date
12/21/2006
Last updated
12/13/2024
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