Provider Demographics
NPI:1508146275
Name:KID TALK INC
Entity Type:Organization
Organization Name:KID TALK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ALMQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:MA/CCC-SLP
Authorized Official - Phone:952-443-9888
Mailing Address - Street 1:1772 STEIGER LAKE LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:VICTORIA
Mailing Address - State:MN
Mailing Address - Zip Code:55386-7723
Mailing Address - Country:US
Mailing Address - Phone:952-443-9888
Mailing Address - Fax:952-443-9804
Practice Address - Street 1:14070 COMMERCE AVE NE
Practice Address - Street 2:SUITE 200
Practice Address - City:PRIOR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55372-1424
Practice Address - Country:US
Practice Address - Phone:952-443-9888
Practice Address - Fax:952-443-9804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN001442700Medicaid
MN169036OtherUCARE
MN4600402OtherMEDICA
MN565581028804OtherPREFERRED ONE
MN017J6KIOtherBCBS MN
MN565581028803OtherPREFERRED ONE
MN78B64KIOtherBCBS MN
MN76842OtherHEALTH PARTNERS
MN1311578OtherAMERICA'S PP0/CIGNA/ARAZ
MN16154051OtherPATIENT CARE