Kao Nu Ly PA-C

NPI 1073560280 - Physician Assistant - 363AS0400X

NPI Details
NPI 1073560280
Gender Female
Enumeration Date 05/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1718 E 4TH ST
SUITE 805
CHARLOTTE NC, 28204-3260, US
Phone (704) 376-5636
Fax (704) 376-5933
Business Location
1718 E 4TH ST
SUITE 805
CHARLOTTE NC, 28204-3260, US
Phone (704) 376-5636
Fax (704) 376-5933
Toxanomy
Taxonomy Code 363AS0400X
License State North Carolina
License Number 104223
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According to our database, Kao Nu Ly PA-C NPI is 1073560280, taxonomy code is 363AS0400X and license number is 104223, license state is located at North Carolina. Kao Nu Ly PA-C physically located at 1718 E 4th St, Charlotte NC, 28204-3260. NPI Number Kao Nu Ly PA-C has the Individual type.

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1073560280 NPI number is provided on an as is basis without warranty of any kind. 1073560280 is maintained by the National Plan & Provider Enumeration System. The contents of Kao Nu Ly PA-C are for informational purposes only.