Individual
KEVIN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301 E 2ND ST STE 210, SCOTTSDALE, AZ 85251-5620
(480) 534-4515
(480) 882-5885
Mailing address
7301 E 2ND ST STE 210, SCOTTSDALE, AZ 85251-5620
(480) 882-5890
(480) 882-6801
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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