Individual
KELLY NOEL FREESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2380 TROOP DR, SUITE201, SARTELL, MN 56377-4636
(320) 258-3915
(320) 258-3917
Mailing address
220 N MCKEMY AVE, CHANDLER, AZ 85226-2654
(480) 835-4472
(480) 893-8172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-0022511
AZ
Other
Enumeration date
05/13/2014
Last updated
01/08/2021
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