Individual
KELLY FENSTERMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
313 1ST ST SE, LITTLE FALLS, MN 56345-3005
(320) 632-3676
Mailing address
313 1ST ST SE, LITTLE FALLS, MN 56345-3005
(320) 632-3676
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002448
AZ
Other
Enumeration date
08/06/2020
Last updated
08/28/2024
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