Individual
KRISTAL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1101 1ST ST NE, NEW PRAGUE, MN 56071-2197
(952) 758-2080
(952) 758-5922
Mailing address
112 MAIN ST E, PO BOX 261, NEW PRAGUE, MN 56071-2440
(952) 758-2080
(952) 758-5922
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3396
MN
152WC0802X
Corneal and Contact Management Optometrist
3396
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821404633
—
MN
Enumeration date
07/01/2014
Last updated
11/27/2023
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