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

Kelly Tanner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104342187

Kelly Tanner is a Student in an Organized Health Care Education/Training Program in Coon Rapids, Minnesota. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9120 Springbrook Dr NW
Coon Rapids, MN 55433-5845
Phone: (952) 767-5900
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
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104342187
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2017
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022
Mailing address9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845

Other providers in Coon Rapids