Individual
KELLY MARIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-2855
(570) 887-2033
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016285
NY
363A00000X
Physician Assistant
Primary
MA058352
PA
Other
Enumeration date
01/22/2013
Last updated
08/26/2016
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