Individual
DR. BLAKE KVIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
135 N SIBLEY AVE, LITCHFIELD, MN 55355-2138
(320) 593-3100
Mailing address
135 N SIBLEY AVE, LITCHFIELD, MN 55355-2138
(320) 593-3100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3599
MN
152W00000X
Optometrist
755
ND
Other
Enumeration date
05/09/2018
Last updated
06/11/2019
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