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

Phong Ly, PA

Individual provider Physician Assistant · NPI 1588302640

Phong Ly, PA is a Physician Assistant in Fort Riley, Kansas. Registered with an NPI since 2022.

In the registry since
2022
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

650 Huebner Rd
Fort Riley, KS 66442-4030
Phone: (785) 240-5549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1588302640
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 26, 2022
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023
Mailing address650 Huebner Rd, Fort Riley, KS 66442-4030

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