Moore, Kelsey

Moore, Kelsey is an sole proprietor health care provider with primary practice located at 10600 Old County Road 15 , Plymouth MN 55441-6200. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Moore, Kelsey can be contacted via phone (763) 545-8850.

Contact Information

Primary practice address
10600 Old County Road 15 Plymouth MN 55441-6200
Phone: (763) 545-8850
Fax: (763) 544-1257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Pediatrics 152WP0200X 3563 Minnesota
Eye and Vision Services Providers / Vision Therapy 152WV0400X 3563 Minnesota
Eye and Vision Services Providers / Optometrist 152W00000X 3563 Minnesota

Profile Details

NPI number 1154844017
LBN Legal business name Moore, Kelsey
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2017
Last updated Feb 5th, 2023 - about 2 years 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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