Whalio Doctors

NPI 1285206318

Landon Michael Kudrna, OD

Practitioner Optometrist Blaine, MN

Practice location

Address
12170 Aberdeen St NE, Blaine, MN 55449-4716
Phone
(637) 577-0007
Fax
(763) 757-3328

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 3746 (MN)

Registry record

NPI
1285206318
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Jul 2021
Record last updated
16 Jul 2021

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.