Kelly Marie Kruckeberg, MS, CCC-SLP - Speech-Language Pathologist in St Louis Park, MN

Kelly Marie Kruckeberg, MS, CCC-SLP is a Speech-language Pathologist based in St Louis Park, Minnesota. Kelly Marie Kruckeberg is licensed to practice in Minnesota (license number 7955) and her current practice location is 3800 Park Nicollet Blvd, St Louis Park, Minnesota. She can be reached at her office (for appointments etc.) via phone at (952) 993-1029.

NPI number for Kelly Marie Kruckeberg is 1952478588 and her current mailing address is 3800 Park Nicollet Blvd, St Louis Park, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952478588.

Contact Information

Kelly Marie Kruckeberg, MS, CCC-SLP
3800 Park Nicollet Blvd,
St Louis Park, MN 55416-2527
(952) 993-1029
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelly Marie Kruckeberg
GenderFemale
SpecialitySpeech-language Pathologist
Location3800 Park Nicollet Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1952478588
  • Provider Enumeration Date: 11/29/2006
  • Last Update Date: 04/07/2016

Medical Identifiers

Medical identifiers for Kelly Marie Kruckeberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952478588NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 7955 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Marie Kruckeberg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Marie Kruckeberg, MS, CCC-SLP
3800 Park Nicollet Blvd,
St Louis Park, MN 55416-2527

Ph: (952) 993-1029
Kelly Marie Kruckeberg, MS, CCC-SLP
3800 Park Nicollet Blvd,
St Louis Park, MN 55416-2527

Ph: (952) 993-1029

Reviews and Comments


Speech-Language Pathologist in St Louis Park, MN

Kathryn Trefethren, MACYSLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 7900 W 28th St, St Louis Park, MN 55426
Phone: 952-920-8380    
Miss Melanie Jayne Hagen, M.A. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5486    
Mrs. Takako Fukuda Truskinovsky, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 4330 Cedar Lake Rd S, St Louis Park, MN 55416
Phone: 952-381-3434    Fax: 952-377-1430
Robbie Fast, MS, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 5861 Cedar Lake Rd S, St Louis Park, MN 55416
Phone: 763-544-1000    
Ms. Kelly Bertenshaw,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 4415 W 36 1/2 St, St Louis Park, MN 55416
Phone: 952-927-9717    
Mrs. Jennifer Kay Chapdelaine, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    
Mrs. Shana Kaufman, MA, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2632 Lynn Ave, St Louis Park, MN 55416
Phone: 845-521-9122    

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