Carlson, Keith Harold

Carlson, Keith Harold is an individual health care provider with primary practice located at 14101 Fairview Dr Ste 350 , Burnsville MN 55337-2506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Carlson, Keith Harold can be contacted via phone (952) 522-4900.

Contact Information

Primary practice address
14101 Fairview Dr Ste 350 Burnsville MN 55337-2506
Phone: (952) 522-4900
Fax: (952) 522-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 28116 Minnesota

Profile Details

NPI number 1679548879
LBN Legal business name Carlson, Keith Harold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated May 22nd, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679548879 NPPES
Minnesota MEDICAID 1679548879

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