Kevin Ly
Kevin Ly is a Family Practice in Bloomsburg, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Geisinger Clinic, a 3,413-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 8
- Licensed in
- PA
- In the registry since
- 2018
Practice location Address checks out
240 Mall BlvdBloomsburg, PA 17815-8306
Phone: (570) 784-8303
Fax: (570) 387-5030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence MD475200 (PA) |
|---|
Record details
| NPI number | 1720564289 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 17, 2018 |
| Last updated in NPPES | September 11, 2025 |
| Certification date | September 11, 2025 |
| Mailing address | 100 N Academy Ave, Danville, PA 17822-4903 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Geisinger Clinic — 3413 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Bloomsburg
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Gordon Alexander Haskell, MD
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Joanna M Kraynak, DO
240 Mall Blvd, Bloomsburg, PA 17815-8306 · (570) 784-8303
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Dr. William J Kuprevich Jr., DO
6850 Lows Rd, Bloomsburg, PA 17815-8729 · (570) 784-7300
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Dr. Karl O. Luxardo, DO
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Dr. Reginald Mbolda, MD
549 Fair St, Bloomsburg, PA 17815-1419 · (570) 387-2011
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Margaret Moore, DO
240 Mall Blvd, Bloomsburg, PA 17815-8306 · (570) 784-8303
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