Individual
CARLY VAN KEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
150 17TH AVE NW, ROCHESTER, MN 55901-0321
(507) 288-6964
Mailing address
1067 4TH ST NE STE 350, BYRON, MN 55920-5004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4011
MN
Other
Enumeration date
04/12/2025
Last updated
06/17/2025
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