Individual
KAYE M BAUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP, COM, CLC
Contact information
Practice address
15600 36TH AVE N STE 120, PLYMOUTH, MN 55446-3687
(763) 595-0812
(763) 595-0824
Mailing address
5356 CHOWEN AVE S, MINNEAPOLIS, MN 55410-2122
(612) 209-5240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
MN 7607
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30940100
—
MN
Enumeration date
01/26/2006
Last updated
02/08/2023
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