Search › Minnesota › 152W00000X
Kelsey Moore, OD
NPI 1154844017 · on the registry since 2017 · sole proprietor
Practice
- Address
- 10600 Old County Road 15
Plymouth, MN 55441 - Phone
- (763) 545-8850
- Fax
- (763) 544-1257
- Organisation at this address
- Mondale Dental Llc
Kennedy Vision Health Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152WP0200X
152WV0400X - Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota