Kay Aline Ly Pendleton in Dallas - Pediatrics
Kay Aline Ly Pendleton - NPI 1083893655
Kay Aline Ly Pendleton is a Pediatrics in Dallas, Texas. Kay Aline Ly Pendleton practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kay Aline Ly Pendleton is 1083893655. The last update date is 2008-10-16.
Kay Aline Ly Pendleton's current location address is 1935 Medical District Dr, Dallas, Texas. You can contact this provider via phone number 2144566040. The mailing address for Kay Aline Ly Pendleton is 1935 Medical District Dr, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kay Aline Ly Pendleton |
|---|---|
| Address | 1935 Medical District Dr, Dallas, Texas |
| Phone Number | 2144566040 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1083893655 |
|---|---|
| Provider Enumeration Date | 2007-10-30 |
| Last Updated Date | 2008-10-16 |
Provider Mailing Address Detail
| Address | 1935 Medical District Dr |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752357701 |
| Phone Number | 2144566040 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 688052 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 190192801 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kay Aline Ly Pendleton?
The Kay Aline Ly Pendleton has been issued the NPI (National Provider Identifier) 1083893655 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Kay Aline Ly Pendleton located?
The Kay Aline Ly Pendleton is located at 1935 Medical District Dr, Dallas, TX 752357701.
What is the Kay Aline Ly Pendleton's specialty and taxonomy code?
The Kay Aline Ly Pendleton's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083893655 to Kay Aline Ly Pendleton?
The Centers for Medicare & Medicaid Services originally issued the 1083893655 to Kay Aline Ly Pendleton on 2007-10-30.
As of what date was the information regarding Kay Aline Ly Pendleton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kay Aline Ly Pendleton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-10-16.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC