Individual provider Active NPI

Kaylin Kulhanek, M.A. CFY-SLP

  • Speech-Language Pathologist
  • Woodbury, MN
National Provider Identifier
1053723809
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9275 Issued in MN
Practice address
8450 City Centre Dr
Woodbury, MN 55125-5308
Phone
(612) 210-8835
NPI assigned
May 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9275 MN Primary

Addresses

Primary practice location

8450 City Centre Dr
Woodbury, MN 55125-5308

Mailing address

12945 Charlston CT
Rosemount, MN 55068-5024
Phone (651) 587-9877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1053723809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12945 CHARLSTON CT",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550685024",
            "telephone_number": "651-587-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 CITY CENTRE DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551255308",
            "telephone_number": "612-210-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULHANEK",
        "first_name": "KAYLIN",
        "credential": "M.A. CFY-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.