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Search › Minnesota › 152W00000X

Carly Van Keulen

NPI 1861287583 · on the registry since 2025

Practice

Address
150 17th Ave Nw
Rochester, MN 55901
Phone
(507) 288-6964
Organisation at this address
Gibbons Optical, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 1067 4th St Ne Ste 350, Byron, MN

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-17

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