Manescalco, Kelsey Marie
Manescalco, Kelsey Marie is an individual health care provider with primary practice located at 15704 90Th St Ne # 100 , Otsego MN 55330-7448. She recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Manescalco, Kelsey Marie can be contacted via phone (763) 241-1090.Contact Information
Primary practice address
15704 90Th St Ne # 100
Otsego MN 55330-7448
Phone: (763) 241-1090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 3513 | Minnesota |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 3513 | Minnesota |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 3513 | Minnesota |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3513 | Minnesota |
Profile Details
| NPI number | 1003338211 |
|---|---|
| LBN Legal business name | Manescalco, Kelsey Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2017 |
| Last updated | Jul 10th, 2017 - about 9 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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