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

Kelsey Jean Van Vickle

Individual provider Speech-Language Pathologist · NPI 1316313091

Kelsey Jean Van Vickle is a Speech-Language Pathologist in Roseville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015

Practice location Address checks out

1935 County Road B2 W Ste 100
Roseville, MN 55113-2722
Phone: (651) 636-4155
Fax: (651) 636-3595
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 9542 (MN)

Record details

NPI number1316313091
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2015
Last updated in NPPESAugust 17, 2015

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