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

Kevin Ly, PA

Individual provider Medical Physician Assistant · NPI 1396389656

Kevin Ly, PA is a Physician Assistant in Largo, Florida. Qualified in 2019, 7 years ago. Practices with Baycare Urgent Care, LLC, a 94-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13670 Walsingham Rd
Largo, FL 33774-3532
Phone: (727) 593-9848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9112466 (FL)

Record details

NPI number1396389656
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 30, 2019
Last updated in NPPESApril 17, 2023
Certification dateApril 17, 2023
Mailing address11921 N Dale Mabry Hwy, Tampa, FL 33618-3512

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Baycare Urgent Care, Llc. — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare

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