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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since November 29, 2006
3455 153RD ST W, ROSEMOUNT, MN 55068(952) 388-1900 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 11, 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 Rosemount, 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 Address3455 153RD ST WRosemount, MN 55068-4946
Mailing Address3455 153rd St WRosemount, MN 55068-4946 · (952) 388-1900
Phone(952) 388-1900
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ 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.
3455 153RD ST W, Rosemount, MN 55068
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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.

MRS. CHERYL J FICK
Occupational Therapist
3455 153RD ST W
ROSEMOUNT, MN 55068
Dakota County (651) 423-0602
ELIZABETH ANN JESKA MA OTR/L
Occupational Therapist
3455 153RD ST W
ROSEMOUNT, MN 55068
Dakota County (651) 423-7700
KENDRA LEE FLEGEL
Speech-Language Pathologist
3455 153RD ST W
ROSEMOUNT, MN 55068
Dakota County (952) 431-8360
CHERYL C MATSCH
Speech-Language Pathologist
3455 153RD ST W
ROSEMOUNT, MN 55068
Dakota County (651) 683-6922
MRS. JILL DIANE KUZMA CCC-SLP
Speech-Language Pathologist
3455 153RD ST W
ROSEMOUNT, MN 55068
Dakota County (952) 423-7896
TRACI JACOBSON
Occupational Therapist
3455 153RD ST W
ROSEMOUNT, MN 55068
Dakota County (651) 423-7700
CHILDREN'S THERAPY CTR, INC
Speech-Language Pathologist
3455 153RD ST W
ROSEMOUNT, MN 55068
Dakota County (651) 423-0644
VICTORIA LEFFELMAN SPEECH PATHOLOGIST
Speech-Language Pathologist
3455 153RD ST W
ROSEMOUNT, MN 55068
Dakota County (952) 431-8350

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 3455 153rd St W, Rosemount, MN 55068. The listed phone number is (952) 388-1900.

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 September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.