Individual
DR. KELLY MINNICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9220 BOEHM DR, LENEXA, KS 66219-2198
(612) 250-7355
Mailing address
9220 BOEHM DR, LENEXA, KS 66219-2198
(612) 250-7355
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3242
MN
Other
Enumeration date
10/14/2009
Last updated
07/22/2011
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