Kelly Carlson, MACCCSLP - Speech-Language Pathologist in Eagan, MN

Kelly Carlson, MACCCSLP is a Speech-language Pathologist based in Eagan, Minnesota. Kelly Carlson is licensed to practice in Minnesota (license number 7663) and her current practice location is 2795 Pilot Knob Rd, Suite 100, Eagan, Minnesota. She can be reached at her office (for appointments etc.) via phone at (651) 994-9644.

NPI number for Kelly Carlson is 1083749964 and her current mailing address is 4058 Deerwood Trl, Eagan, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083749964.

Contact Information

Kelly Carlson, MACCCSLP
2795 Pilot Knob Rd, Suite 100,
Eagan, MN 55121-1119
(651) 994-9644
(651) 994-8962



Healthcare Provider's Profile

Full NameKelly Carlson
GenderFemale
SpecialitySpeech-language Pathologist
Location2795 Pilot Knob Rd, Eagan, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083749964
  • Provider Enumeration Date: 02/22/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Kelly Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083749964NPI-NPPES
964S0GIOtherMNBCBS
HP42423OtherMNHEALTH PARTNERS
4600723OtherMNMEDICA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 7663 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Carlson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Carlson, MACCCSLP
4058 Deerwood Trl,
Eagan, MN 55122-1889

Ph: (651) 994-9644
Kelly Carlson, MACCCSLP
2795 Pilot Knob Rd, Suite 100,
Eagan, MN 55121-1119

Ph: (651) 994-9644

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› Verified 8 days ago


Speech-Language Pathologist in Eagan, MN

Shirin Razavian,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2030 Rahn Way, Eagan, MN 55122
Phone: 651-529-1960    
Claudia Christensen-major, MACCCSLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 2795 Pilot Knob Rd, Suite 100, Eagan, MN 55121
Phone: 651-994-9644    Fax: 651-994-8962
Jennifer Bailey, MACCCSLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2795 Pilot Knob Rd, Suite #100, Eagan, MN 55121
Phone: 651-994-9644    Fax: 651-994-8962
Katlyn Elizabeth Dahlstrom, SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 3305 Central Park Village Dr Ste 130, Eagan, MN 55121
Phone: 651-406-8868    
Amanda Enstrom, M.A., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 3464 Washington Dr, Suite 110, Eagan, MN 55122
Phone: 952-460-4278    
Kelsey Falligant,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121
Phone: 651-994-9644    

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