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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAO NU LY PA-C
NPI 1073560280
Physician Assistant - Surgical in Charlotte, NC

Active since May 31, 2006
1718 E 4TH ST, SUITE 805, CHARLOTTE, NC 28204(704) 376-5636(704) 376-5933 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kao Nu Ly Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAO NU LY PA-C (NPI 1073560280) is an individual surgical provider in Charlotte, North Carolina, licensed in North Carolina (104223) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1073560280
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKAO NU LYCredential: PA-C
Location Address1718 E 4TH ST, SUITE 805Charlotte, NC 28204-3260
Mailing Address1718 E 4th St, Suite 805Charlotte, NC 28204-3260 · (704) 376-5636 · Fax (704) 376-5933
Phone(704) 376-5636
Fax(704) 376-5933
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1073560280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NC · 104223
1718 E 4TH ST, Charlotte, NC 28204
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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.

LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
1718 E 4TH ST, SUITE 707
CHARLOTTE, NC 28204
Mecklenburg County (704) 598-7320
DR. PHILIP WILLIAM DE HOFF M. D.
Obstetrics & Gynecology
1718 E 4TH ST, SUITE 907
CHARLOTTE, NC 28204
Mecklenburg County (704) 372-4000
STEPHANIE DAWN RITCHIE PA-C
Physician Assistant (Surgical)
1718 E 4TH ST, SUITE 701
CHARLOTTE, NC 28204
Mecklenburg County (704) 316-5100
NOVANT MEDICAL GROUP
Internal Medicine (Infectious Disease)
1718 E 4TH ST, SUITE 401
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-7840
JESSICA PUSKARICH NP
Nurse Practitioner
1718 E 4TH ST, SUITE 307
CHARLOTTE, NC 28204
Mecklenburg County (704) 333-1259
ROBERT BRIAN FAZIA MD
Internal Medicine (Cardiovascular Disease)
1718 E 4TH ST, SUITE 501
CHARLOTTE, NC 28204
Mecklenburg County (704) 343-9800
NOVANT HEALTH MEDICAL GROUP, LLC
Obstetrics & Gynecology
1718 E 4TH ST, SUITE 201
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-0560
JOHN E ALEXANDER M.D.
Internal Medicine (Cardiovascular Disease)
1718 E 4TH ST, STE 501
CHARLOTTE, NC 28204
Mecklenburg County (704) 343-9800

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 Kao Nu Ly's NPI number?

The NPI number for Kao Nu Ly is 1073560280. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Kao Nu Ly located?

Kao Nu Ly practices at 1718 E 4th St Suite 805, Charlotte, NC 28204. The listed phone number is (704) 376-5636.

What is Kao Nu Ly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kao Nu Ly was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.