Individual
KELLY L LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1150 VETERANS BLVD, KAISER REDWOOD CITY MEDICAL, REDWOOD CITY, CA 94063-2037
(650) 299-3142
Mailing address
830 KEY ROUTE BLVD, ALBANY, CA 94706-1717
(650) 299-3142
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
217915
MA
Other
Enumeration date
05/31/2006
Last updated
12/13/2021
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