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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KELLY CRENNA, O.D.

Active Sole Proprietor

DR. KELLY CRENNA, O.D. is a Optometrist healthcare provider located in MAPLE GROVE, Minnesota. NPI 1053540690 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MAPLE GROVE, MN

Registration Details

NPI Number
1053540690
Provider Type
Individual
Gender
Female
NPI Issued
Jul 3, 2009 (17.113212537317 yrs)
Last Updated
May 6, 2015
License
3171 (MN)
Sole Proprietor
Yes

Practice Information

Address
13195 WEAVER LAKE RD
MAPLE GROVE, MN, 553699410
Browse MN providers · Browse ZIP 55369
Phone
7635990153
Fax
7634206957
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in MAPLE GROVE, MN

Name Credential NPI
SCOTT A FRICK OD 1043214091
KATIE E OLINECK OD 1669476610
DR. BRIAN J HAMANN OD 1700864667
MRS. MICHELLE MARIE MARTIN O.D. 1386652907
REBECCA LOERZEL O.D. 1396848206
DR. BRAD ALAN WEEKS O.D. 1073694873
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.