Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIMBERLY DAWN JEDLICKA, O.D.
Active Sole ProprietorDR. KIMBERLY DAWN JEDLICKA, O.D. is a Optometrist healthcare provider located in JORDAN, Minnesota. NPI 1790817203 is currently active in the NPPES registry. Verify at CMS.
Optometrist · JORDAN, MN
Registration Details
- NPI Number
- 1790817203
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 10, 2007 (19.402159052433 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2632 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
223 1ST ST ESUITE 101JORDAN, MN, 553521561Browse MN providers · Browse ZIP 55352
- Phone
- 9524922350
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in JORDAN, MN
| Name | Credential | NPI |
|---|---|---|
| DR. VICKI SUE LUEHMANN | O.D. | 1942399456 |
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.