Individual
KELSEY ELIZABETH ENGELBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2950 CURVE CREST BLVD W, STILLWATER, MN 55082-5085
(651) 275-3000
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4751
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3774
MN
390200000X
Student in an Organized Health Care Education/Training Program
OPT.006980
OH
Other
Enumeration date
05/24/2021
Last updated
10/19/2022
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