Individual
KELLY DUFF VISENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3551 JUSTIN RD STE 150, FLOWER MOUND, TX 75028-6213
(972) 355-5152
(972) 691-2958
Mailing address
3106 WOODHOLLOW DR, FLOWER MOUND, TX 75022-8475
(972) 259-0052
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4924TG
TX
Other
Enumeration date
05/12/2009
Last updated
02/03/2021
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