Individual
DR. BOREMY LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7818 N HULL AVE, KANSAS CITY, MO 64151-1532
(816) 304-8452
(816) 468-0742
Mailing address
7818 N HULL AVE, KANSAS CITY, MO 64151-1532
(816) 304-8452
(816) 468-0742
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
000750
MO
213EP1101X
Primary Podiatric Medicine Podiatrist
1200289
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308630318
—
MO
Enumeration date
09/16/2006
Last updated
02/28/2012
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