Provider Demographics
NPI:1265663439
Name:KREIN, KARI A (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:A
Last Name:KREIN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:A
Other - Last Name:KREIN-JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:200 1ST ST SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55905-0001
Mailing Address - Country:US
Mailing Address - Phone:507-284-2511
Mailing Address - Fax:
Practice Address - Street 1:1528 NORTHWAY DR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-1287
Practice Address - Country:US
Practice Address - Phone:320-252-0233
Practice Address - Fax:320-252-1421
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8132235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNP00937258OtherRAILROAD MEDICARE
MNENROLLEDMedicaid
MNENROLLEDMedicaid