Carlson, Kelly

Carlson, Kelly is an individual health care provider with primary practice located at 2795 Pilot Knob Rd Suite 100, Eagan MN 55121-1119. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Carlson, Kelly can be contacted via phone (651) 994-9644.

Contact Information

Primary practice address
2795 Pilot Knob Rd Suite 100 Eagan MN 55121-1119
Phone: (651) 994-9644
Fax: (651) 994-8962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7663 Minnesota

Profile Details

NPI number 1083749964
LBN Legal business name Carlson, Kelly
Credentials MACCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083749964 NPPES
Minnesota Other 964S0GI BCBS
Minnesota Other HP42423 BCBS
Minnesota Other 4600723 BCBS

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