Most Relevant Information
Provider Data
| NPI Number: | 1003393364 |
| Provider Name: | KELLY REILLY-FURLONG RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN36411 |
Most Important Dates
| Enumeration Date: | 07/19/2018 |
| Last Updated: | 07/19/2018 |
Provider Practice Location
88 DAMON RIDGE RD
CHARLOTTE
ME
046666703
Practice Location Phone/Fax
| Phone: | 2072149255 |
| Fax: |
Provider Mailing Location
88 DAMON RIDGE RD
CHARLOTTE
ME
046666703
Provider Mailing Phone/Fax
| Phone: | 2072149255 |
| Fax: |