NPI 1104342187

Kelly Tanner

Practitioner Speech-Language Pathologist Coon Rapids, MN

Practice location

Address: 9120 Springbrook Dr NW, Coon Rapids, MN 55433-5845
Phone: (952) 767-5900

Registered specialties (2)

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1104342187
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2017
Record last updated: 14 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.