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

Kim Ly, DO

Individual provider Internal Medicine Physician · NPI 1972798122

Kim Ly, DO is an Internal Medicine in Everett, Washington. Qualified in 2006, 20 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Washington.

Years since qualifying
20
Licensed in
CA, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2930 Maple St
Everett, WA 98201-3832
Phone: (425) 261-1692
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OP00001825 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 20A7092 (CA)

Record details

NPI number1972798122
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 11, 2007
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021
Mailing address2930 Maple St, Everett, WA 98201-3832

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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