Most Relevant Information
Provider Data
| NPI Number: | 1003227059 |
| Provider Name: | KELLY NOEL FREESE OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | OPT-0022511 |
Most Important Dates
| Enumeration Date: | 05/13/2014 |
| Last Updated: | 01/08/2021 |
Provider Practice Location
2380 TROOP DR
SUITE201
SARTELL
MN
563774636
Practice Location Phone/Fax
| Phone: | 3202583915 |
| Fax: | 3202583917 |
Provider Mailing Location
220 N MCKEMY AVE
CHANDLER
AZ
852262654
Provider Mailing Phone/Fax
| Phone: | 4808354472 |
| Fax: | 4808938172 |