Individual
KELSEY TENEYCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9160 S HOUGHTON RD STE 140, TUCSON, AZ 85747-9736
(520) 574-6513
(520) 798-7337
Mailing address
220 N MCKEMY AVE, CHANDLER, AZ 85226-2651
(480) 961-1865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002392
AZ
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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