Individual
JODELL KESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2835 W SAINT GERMAIN ST STE 300, BOX 5123, SAINT CLOUD, MN 56301-6281
(320) 255-1499
Mailing address
PO BOX 5123, SAINT CLOUD, MN 56302-5123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5520
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01016518
PREFERRED ONE
MN
01
—
0411625495
FORTIS
MN
01
—
115484
UCARE
MN
01
—
1880044
MAYO MANAGEMENT
MN
01
—
411625495
UNITED HEALTH CARE
MN
01
—
4600206
MEDICA
MN
01
—
645133
PRO NET
MN
01
—
7005573
PREFERRED ONE COMM HEALTH
MN
01
—
7985172
AETNA
MN
01
—
7G226KE
BLUE PLUS
MN
05
—
904245800
—
MN
01
—
9390635
LUMENOS
MN
Enumeration date
04/07/2007
Last updated
10/04/2016
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