Kayla Braun
Individual provider Active NPI Speech-Language Pathologist · Andover, MN
NPI 1083969786 · NPPES record last updated Mar 17, 2014
Key facts
- NPI
- 1083969786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 1891 Station Pkwy NW
Andover, MN 55304-4259 - Phone
- (763) 755-4275
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9257 | MN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
1891 Station Pkwy NW
Andover, MN 55304-4259
Mailing address
1891 Station Pkwy NW
Andover, MN 55304-4259
Other providers in Andover, MN
- Julie Marie Boelke
- Julia Marie Bolte
- Cassandra A Borlaug
- Rebecca Brandt
- Bradley R Branham
- Mary Breems
- Alice Marie Briley
- Jess Alan Brown
- Tonya Lynne Bryan
- Jessica Brysky
All providers in Andover, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.