| Kelly Jean Ritter Brunsvold, MS,CCC-SLP | |
|
300 S Bruce St, Marshall, MN 56258-1934 | |
| (507) 537-9006 | |
| Not Available |
| Full Name | Kelly Jean Ritter Brunsvold |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 300 S Bruce St, Marshall, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346523644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 8414 (Minnesota) | Primary |
| Provider Name | Avera Marshall |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Jean Ritter Brunsvold, MS,CCC-SLP 803 Viking Dr, Marshall, MN 56258-3400 Ph: (507) 828-3703 | Kelly Jean Ritter Brunsvold, MS,CCC-SLP 300 S Bruce St, Marshall, MN 56258-1934 Ph: (507) 537-9006 |
Peter Amberg, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1420 E College Dr Ste 704, Marshall, MN 56258 Phone: 507-532-3393 Fax: 320-839-4196 | |
Traci Pagel, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-530-6683 | |
Kalley Marie Hoffmann, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-537-9172 | |
Katie Moland, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1420 E College Dr Ste 704, Marshall, MN 56258 Phone: 507-532-3393 | |
Neil Thomas Eichten, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-537-9172 | |
Victoria Ann Botten, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-537-9172 |