Kerry Louise Krueger, | |
6500 Excelsior Blvd., St. Louis Park, MN 55426 | |
(952) 883-1000 | |
Not Available |
Full Name | Kerry Louise Krueger |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 6500 Excelsior Blvd., St. Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073809943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 8734 (Minnesota) | Primary |
Provider Name | Park Nicollet Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
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Kerry Louise Krueger, 8170 33rd Ave S, Mail Stop 21110q, Minneapolis, MN 55440 Ph: () - | Kerry Louise Krueger, 6500 Excelsior Blvd., St. Louis Park, MN 55426 Ph: (952) 883-1000 |
Nancy Hayer, MS-CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd., St. Louis Park, MN 55426 Phone: 952-993-5000 | |
Ms. Kari Lynn Unke, MAT-CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd., Rehabilitation Services - Speech Pathology, St. Louis Park, MN 55426 Phone: 952-993-9161 |