Kelly Marie Kruckeberg in St Louis Park - Speech-language Pathologist
Kelly Marie Kruckeberg - NPI 1952478588
Kelly Marie Kruckeberg is a Speech-language Pathologist in St Louis Park, Minnesota. Kelly Marie Kruckeberg practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kelly Marie Kruckeberg is 1952478588. The last update date is 2016-04-07.
Kelly Marie Kruckeberg's current location address is 3800 Park Nicollet Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529931029. The mailing address for Kelly Marie Kruckeberg is 3800 Park Nicollet Blvd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Marie Kruckeberg |
|---|---|
| Address | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
| Phone Number | 9529931029 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.S., CCC- |
NPI Number Detail
| NPI Number | 1952478588 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2016-04-07 |
Provider Mailing Address Detail
| Address | 3800 Park Nicollet Blvd |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554162527 |
| Phone Number | 9529931029 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 7955 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique identification code assigned to Kelly Marie Kruckeberg by the Centers for Medicare & Medicaid Services?
The Kelly Marie Kruckeberg has been issued the NPI (National Provider Identifier) 1952478588. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelly Marie Kruckeberg located?
The Kelly Marie Kruckeberg is located at 3800 Park Nicollet Blvd, St Louis Park, MN 554162527.
What is Kelly Marie Kruckeberg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Marie Kruckeberg's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.
When was the Kelly Marie Kruckeberg's 1952478588 issued?
The Kelly Marie Kruckeberg's 1952478588 was issued on 2006-11-29.
When was the information regarding Kelly Marie Kruckeberg most recently updated?
The details pertaining to the Kelly Marie Kruckeberg, including its address, specialty, and other relevant information, were last refreshed on 2016-04-07.