KELLY LYNN GULLESTAD

SMITHTOWN, NY
NPI1346537347
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  641852)
Enumeration Date2011-06-29
Last Update Date2011-06-29
Business Address
-- KELLY LYNN GULLESTAD R.N.
14 BELLEMEADE AVE
SMITHTOWN, NY 11787-1857
Phone number: 631-265-5300
Mailing Address
-- KELLY LYNN GULLESTAD R.N.
11 ORMONT LN
STONY BROOK, NY 11790-3017
Phone number: 631-708-5861