Kelly Lynn Gullestad, R.N. Valid NPI

Individual provider · Registered Nurse · Smithtown, NY

NPI

1346537347

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

641852 (NY)

Sex

Female

Sole proprietor

Yes

Enumerated

2011-06-29

Last updated

2011-06-29