KELLY KRUCKEBERG, M.S., CCC-SLP

Speech-Language Pathologist

Active Individual
NPI: 1952478588

Practice Address

3800 PARK NICOLLET BLVD
St Louis Park, MN 55416

Phone: (952) 993-1029

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes 7955 (MN)

Frequently Asked Questions

NPI 1952478588 is the National Provider Identifier for KELLY KRUCKEBERG, M.S., CCC-SLP, a Speech-Language Pathologist provider located in St Louis Park, MN. This NPI was enumerated on November 29, 2006.
KELLY KRUCKEBERG, M.S., CCC-SLP practices at 3800 PARK NICOLLET BLVD, St Louis Park, MN 55416.

Quick Facts

NPI
1952478588
Type
Individual
Enumerated
Nov 29, 2006
Last Updated
Apr 7, 2016

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