Jedlicka, Kimberly Dawn

Jedlicka, Kimberly Dawn is an sole proprietor health care provider with primary practice located at 223 1St St E Suite 101, Jordan MN 55352-1561. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jedlicka, Kimberly Dawn can be contacted via phone (952) 492-2350.

Contact Information

Primary practice address
223 1St St E Suite 101 Jordan MN 55352-1561
Phone: (952) 492-2350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2632 Minnesota

Profile Details

NPI number 1790817203
LBN Legal business name Jedlicka, Kimberly Dawn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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