NPI 1003338211

Kelsey Marie Manescalco, OD

Practitioner Optometrist Otsego, MN

Practice location

Address: 15704 90th St NE # 100, Otsego, MN 55330-7448
Phone: (763) 241-1090

Registered specialties (4)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3513 (MN)

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Eye and Vision Services Providers Taxonomy 152WV0400X Licence 3513 (MN)

Registry record

NPI: 1003338211
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2017
Record last updated: 10 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.