Dr. Kelly Kim Ly
MD | Pediatric Adolescent Medicine | Female
Dr. Kelly Kim Ly, MD is a New York, New York based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Kelly Kim Ly is
227 Madison St, Pediatrics Dept, New York, New York - 10002-7537. She can be contacted on phone at
212-238-7260 and fax number 212-238-7799.
Dr. Kelly Kim Ly is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kelly Kim Ly is
1801914742 which was assigned by NPPES on 27 Mar, 2007 and it was last updated on 12 Jul, 2011.
Dr. Kelly Kim Ly license number is
224534 for Pediatrics Adolescent Medicine (2080A0000X) in New York.
Dr. Kelly Kim Ly specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Kelly Kim Ly basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Kelly Kim Ly |
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| Credential : | MD |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Kelly Kim Ly address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 227 Madison St, Pediatrics Dept
New York, NY, 10002-7537
United States |
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| Phone Number : | 212-238-7260 |
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| Fax Number : | 212-238-7799 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1801914742 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Mar, 2007 |
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| Last Updated On : | 12 Jul, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kelly Kim Ly are as mentioned. Primary taxonomy code for Dr. Kelly Kim Ly, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | No | 25MA07959400 | NJ |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 224534 | NY |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 227 Madison St, Pediatrics Dept
New York, NY, 10002-7537
United States |
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| Phone Number : | 212-238-7260 |
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| Fax Number : | 212-238-7799 |
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Business Location:
Patients can refer following map for directions to
Dr. Kelly Kim Ly practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.