Individual
MS. KIMBERLY REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 JACK MARTIN BLVD STE 6, BRICK, NJ 08724-7778
(732) 344-0596
Mailing address
495 JACK MARTIN BLVD STE 6, BRICK, NJ 08724-7778
(732) 344-0596
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
26NR13259800
NJ
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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