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

Kao Nu Ly, PA-C

Individual provider Surgical Physician Assistant · NPI 1073560280

Kao Nu Ly, PA-C is a Surgical Physician Assistant in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1718 E 4th St Ste 805
Charlotte, NC 28204-3260
Phone: (704) 376-5636
Fax: (704) 376-5933
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 104223 (NC)

Record details

NPI number1073560280
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESJuly 13, 2026

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