Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kelly Marie Kruckeberg, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1952478588

Kelly Marie Kruckeberg, MS, CCC-SLP is a Speech-Language Pathologist in Rosemount, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3455 153rd St W
Rosemount, MN 55068-4946
Phone: (952) 388-1900
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7955 (MN)

Record details

NPI number1952478588
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026

Other providers in Rosemount