Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kelly Kim Ly, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1801914742

Dr. Kelly Kim Ly, MD is a Pediatric Adolescent Medicine Physician in New York, New York. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

227 Madison St Pediatrics Dept
New York, NY 10002-7537
Phone: (212) 238-7260
Fax: (212) 238-7799
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Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 224534 (NY)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence 25MA07959400 (NJ)

Record details

NPI number1801914742
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 27, 2007
Last updated in NPPESJuly 12, 2011

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