Individual
KAITLYN JO MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7789 147TH ST W, APPLE VALLEY, MN 55124-7568
(952) 432-0680
(952) 432-8823
Mailing address
7789 147TH ST W, APPLE VALLEY, MN 55124-7568
(952) 432-0680
(952) 432-8823
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3723
MN
Other
Enumeration date
03/26/2020
Last updated
03/11/2025
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