Active NPI
Kenneth Ly, DO LLC
- Family Medicine Physician
- Carrollton, TX
National Provider Identifier
1205754355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- KENNETH LY, DO LLC
- Practice address
- 1735 Keller Springs Rd Ste 101
Carrollton, TX 75006-2999 - Phone
- (972) 704-1554
- NPI assigned
- Jul 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl Anders
- Title
- Secretary
- Phone
- (661) 587-0700
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X |
Addresses
Primary practice location
1735 Keller Springs Rd Ste 101
Carrollton, TX 75006-2999
Mailing address
1735 Keller Springs Rd Ste 101
Carrollton, TX 75006-2999
Phone (972) 704-1554
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783382400000",
"number": "1205754355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 KELLER SPRINGS RD STE 101",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750062999",
"telephone_number": "972-704-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 KELLER SPRINGS RD STE 101",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750062999",
"telephone_number": "972-704-1554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH LY, DO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-07",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A",
"authorized_official_last_name": "ANDERS",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "661-587-0700"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.