Individual
KEVIN LY TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 E GRAY ST, LOUISVILLE, KY 40202-3900
(502) 584-7525
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
05/20/2024
Last updated
08/13/2025
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