Mrs Crystal Lee Kieckhoefer O'malley, MSE, CCC-SLP - Speech-Language Pathologist in Andover, MN

Mrs Crystal Lee Kieckhoefer O'malley, MSE, CCC-SLP is a Speech-language Pathologist based in Andover, Minnesota. Mrs Crystal Lee Kieckhoefer O'malley is licensed to practice in Minnesota (license number 8889) and her current practice location is 1891 Station Pkwy Nw, Andover, Minnesota. She can be reached at her office (for appointments etc.) via phone at (763) 755-4275.

NPI number for Mrs Crystal Lee Kieckhoefer O'malley is 1205068681 and her current mailing address is 1891 Station Pkwy Nw, Andover, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205068681.

Contact Information

Mrs Crystal Lee Kieckhoefer O'malley, MSE, CCC-SLP
1891 Station Pkwy Nw,
Andover, MN 55304-4259
(763) 755-4275
Not Available



Healthcare Provider's Profile

Full NameMrs Crystal Lee Kieckhoefer O'malley
GenderFemale
SpecialitySpeech-language Pathologist
Location1891 Station Pkwy Nw, Andover, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205068681
  • Provider Enumeration Date: 08/18/2009
  • Last Update Date: 01/12/2017

Medical Identifiers

Medical identifiers for Mrs Crystal Lee Kieckhoefer O'malley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205068681NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 8889 (Minnesota)Primary
235Z00000XSpeech-language Pathologist 3282-154 (Wisconsin)Secondary

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. Mrs Crystal Lee Kieckhoefer O'malley 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
Mrs Crystal Lee Kieckhoefer O'malley, MSE, CCC-SLP
1891 Station Pkwy Nw,
Andover, MN 55304-4259

Ph: (763) 755-4275
Mrs Crystal Lee Kieckhoefer O'malley, MSE, CCC-SLP
1891 Station Pkwy Nw,
Andover, MN 55304-4259

Ph: (763) 755-4275

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› Verified 5 days ago


Speech-Language Pathologist in Andover, MN

Megan Dierking,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Mrs. Melissa Sue Lonsky, CCC-SLP, OM
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 13750 Crosstown Dr Nw, Andover, MN 55304
Phone: 763-755-4275    Fax: 763-755-4261
Courtney Wagner,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Kristina Dose, MA, SLLP-CF/DE
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    Fax: 763-755-4261
Ms. Kelsey Anne Wegner, M.A., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Nicole Morrissey,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-350-0371    
Kayla Braun,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    

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