Mccarthy, Kelly
Mccarthy, Kelly is an sole proprietor health care provider with primary practice located at 4175 Vinewood Ln N , Plymouth MN 55442-2624. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mccarthy, Kelly can be contacted via phone (763) 553-2883.Contact Information
Primary practice address
4175 Vinewood Ln N
Plymouth MN 55442-2624
Phone: (763) 553-2883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1473 | Nebraska |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3609 | Minnesota |
Profile Details
| NPI number | 1295264547 |
|---|---|
| LBN Legal business name | Mccarthy, Kelly |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2017 |
| Last updated | Aug 10th, 2021 - about 5 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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