| NPI | 1063125458 |
|---|---|
| Doing Business As | KELLY MCCARTHY, OD |
| Entity Type | Organization |
| Authorized Contact | KELLY MCCARTHY Owner 952-356-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2022-12-30 |