| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELLY MARIE REYNOLDS | 1841873452 | 2021-04-30 |
Kelly Marie Reynolds is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1841873452. Registration indicates Kelly Marie Reynolds is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse: Gerontology, ) (Registered Nurse Gerontology, Nursing Service Providers) (Registered Nurse, )
| Entity Type | Individual |
| Provider Name | Ms. Kelly Marie Reynolds RN |
| Practice Office Address | 1445 KEMBLE ST UTICA, NY US |
| Practice Office Telephone | 3157320100 |
| Practice Office Fax | 9292438133 |
| Mailing Address | 1445 KEMBLE ST UTICA, NY 135014441 US |
| Business Telephone | 3157320100 |
| Business Fax | 9292438133 |
| Code | Practice | License No State |
|---|---|---|
| 163WG0600X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse: Gerontology Registered Nurse Gerontology Nursing Service Providers Registered Nurse | 760576-1
NY |