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NPI Code Detail

MEDICARE: KATHRYN JO BUECHLER

MEDICARE:   KATHRYN JO BUECHLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist1039159MN

General Provider Information

NPI Number : 1801734579
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN JO BUECHLER
Provider Business Mailing Address
First Line : 5605 GREEN CIRCLE DR
Second Line :
City : MINNETONKA
State : MN
Zip : 55343-4523
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5605 GREEN CIRCLE DR
Second Line :
City : MINNETONKA
State : MN
Zip : 55343-4523
Country : US
Telephone Number : 612-276-2495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “ KATHRYN JO BUECHLER ” Practice Location

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