| 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: Medicare Enrolled 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  |