Individual
MS. KELLY MARIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1445 KEMBLE ST, UTICA, NY 13501-4441
(315) 732-0100
(929) 243-8133
Mailing address
1445 KEMBLE ST, UTICA, NY 13501-4441
(315) 732-0100
(929) 243-8133
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
760576-1
NY
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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