Kelly Kruckeberg, M.S., CCC-SLP
NPI 1952478588 · Speech-Language Pathologist · St Louis Park, MN
Kelly Kruckeberg, M.S., CCC-SLP is a Speech-Language Pathologist provider in St Louis Park, MN (NPI 1952478588).
Provider details
- NPI number
- 1952478588
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 7955 (MN)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2016-04-07
Frequently asked questions
- What is Kelly Kruckeberg's NPI number?
- Kelly Kruckeberg's National Provider Identifier (NPI) is 1952478588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Kruckeberg's specialty?
- Kelly Kruckeberg is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Kelly Kruckeberg located?
- Kelly Kruckeberg's practice location on file with NPPES is 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527.
- What is Kelly Kruckeberg's phone number?
- The practice phone number listed in the NPPES registry for Kelly Kruckeberg is (952) 993-1029.
- Is Kelly Kruckeberg's NPI active?
- Yes — Kelly Kruckeberg's NPI (1952478588) is active in the NPPES registry as of the last update on 2016-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.