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Kevin Ly
NPI 1568933133 · on the registry since 2018
Practice
- Address
- 30 College Rd
Fairbanks, AK 99701 - Phone
- (907) 374-4160
- Organisation at this address
- Safeway Inc
Safeway Inc
1918 Winter Street Operating Co LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 30 College Rd, Fairbanks, AK
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska