KEVIN LY
NPI 1073394201
Counselor - Professional in Oklahoma City, OK
About Kevin Ly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN LY (NPI 1073394201) is an individual professional provider in Oklahoma City, Oklahoma and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Oklahoma City.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kevin Ly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73105
OKLAHOMA CITY, OK 73105
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kevin Ly's NPI number?
The NPI number for Kevin Ly is 1073394201. It was assigned to this individual provider in the NPPES registry on October 12, 2023.
Where is Kevin Ly located?
Kevin Ly practices at 4400 N Lincoln Blvd, Oklahoma City, OK 73105. The listed phone number is (405) 424-7711.
What is Kevin Ly's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kevin Ly enrolled in Medicare?
Yes. Kevin Ly is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kevin Ly was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kevin Ly · NPI 1073394201
Professional provider in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since October 12, 2023.
## Identity
- **NPI:** 1073394201 (Entity type: Individual)
- **Enumerated:** October 12, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** No
## Practice location
- **Address:** 4400 N LINCOLN BLVD, Oklahoma City, OK 73105-5104
- **Phone:** (405) 424-7711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** March 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073394201) · Data from the CMS NPPES public registry.