Individual
KIMBERLY CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 MAPLE AVE, WARWICK, NY 10990-1028
(845) 323-2220
Mailing address
3 NOVISKI LN, PINE ISLAND, NY 10969-1926
(845) 323-2220
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
439350
NY
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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