Individual
DR. KELLY CRENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
13195 WEAVER LAKE RD, MAPLE GROVE, MN 55369-9410
(763) 599-0153
(763) 420-6957
Mailing address
13195 WEAVER LAKE RD, MAPLE GROVE, MN 55369-9410
(763) 420-5112
(763) 420-6957
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3171
MN
Other
Enumeration date
07/03/2009
Last updated
05/06/2015
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