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KELLY MARIE KRUCKEBERG M.S., CCC-SLP
NPI 1952478588
Speech-Language Pathologist in St Louis Park, MN

Active since November 29, 2006
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(952) 993-1029 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Marie Kruckeberg M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MARIE KRUCKEBERG M.S., CCC-SLP (NPI 1952478588) is an individual speech-language pathologist provider in St Louis Park, Minnesota, licensed in Minnesota (7955) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1952478588
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY MARIE KRUCKEBERGCredential: M.S., CCC-SLP
Location Address3800 PARK NICOLLET BLVDSt Louis Park, MN 55416-2527
Mailing Address3800 Park Nicollet BlvdSt Louis Park, MN 55416-2527 · (952) 993-1029
Phone(952) 993-1029
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateApril 7, 2016
✔ NPI 1952478588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MN · 7955
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. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3800 PARK NICOLLET BLVD, St Louis Park, MN 55416
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER MCCORMICK SCHAUB PSYD, LP
Psychologist
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3123
DAVID J NUTZ MD
Physical Medicine & Rehabilitation
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3800
GLENN MATFIN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3800 PARK NICOLLET BLVD
MINNEAPOLIS, MN 55416
Hennepin County (952) 993-3048
KELLY C GRECO PAC
Physician Assistant
3800 PARK NICOLLET BLVD, DEPARTMENT OF DERMATOLOGY
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3260
KARLA SUSAN ROSENMAN MD
Dermatology
3800 PARK NICOLLET BLVD, DERMATOLOGY 4TH FLOOR
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3821
DR. KRISTIN A KUNZMAN PSY.D.
Psychologist (Clinical)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3393
DR. ALISON M LANG M.D.
Dermatology
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3789
DR. CHUNG M LEE M.D.
Radiology (Diagnostic Radiology)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Kruckeberg's NPI number?

The NPI number for Kelly Kruckeberg is 1952478588. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Kelly Kruckeberg located?

Kelly Kruckeberg practices at 3800 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-1029.

What is Kelly Kruckeberg's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kelly Kruckeberg was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.