Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Carlson, MACCCSLP

Individual provider Speech-Language Pathologist · NPI 1083749964

Kelly Carlson, MACCCSLP is a Speech-Language Pathologist in Eagan, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007

Practice location Address checks out

2795 Pilot Knob Rd Ste 100
Eagan, MN 55121-1119
Phone: (651) 994-9644
Fax: (651) 994-8962
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7663 (MN)

Record details

NPI number1083749964
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorNo
NPI enumeratedFebruary 22, 2007
Last updated in NPPESJuly 9, 2007

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