IndividualActive
Amy Ly
NPI 1104639814 · Student in an Organized Health Care Education/Training Program · Kirksville, MO
Provider details
- NPI number
- 1104639814
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
800 W Jefferson St
Kirksville, MO 63501-1443
Phone: (425) 953-7026
Approximate (ZIP-level) locationGet directions
Mailing address
17517 58th Ave W
Lynnwood, WA 98037-2803
Registry dates
- Enumerated
- 2025-01-28
- Last updated
- 2025-01-28
- Certified
- 2025-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.