Kenneth Ly, Do Llc is a
Family Medicine based in Carrollton, Texas. Kenneth Ly, Do Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
1735 Keller Springs Rd Ste 101, Carrollton, Texas. It can be reached at their office (for appointments etc.) via phone at
(972) 704-1554.
NPI number for Kenneth Ly, Do Llc is 1205754355 and their current mailing address is 1735 Keller Springs Rd Ste 101, Carrollton, Texas. Kenneth Ly, Do Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1205754355.
Healthcare Provider's Profile
| Full Name | Kenneth Ly, Do Llc |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
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| Location | 1735 Keller Springs Rd Ste 101, Carrollton, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205754355
- Provider Enumeration Date: 07/07/2026
- Last Update Date: 07/07/2026
Medical Identifiers
Medical identifiers for Kenneth Ly, Do Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205754355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Ly, Do Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kenneth Ly, Do Llc 1735 Keller Springs Rd Ste 101, Carrollton, TX 75006-2999 Ph: (972) 704-1554 | Kenneth Ly, Do Llc 1735 Keller Springs Rd Ste 101, Carrollton, TX 75006-2999 Ph: (972) 704-1554 |
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