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NPI Code Detail

MEDICARE: KRISTEN NICOLE REINKE MS

MEDICARE: KRISTEN NICOLE REINKE MS
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 Pathologist10560MN

General Provider Information

NPI Number : 1053927384
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN NICOLE REINKE MS
Provider Business Mailing Address
First Line : 19286 JUDICIAL RD
Second Line :
City : PRIOR LAKE
State : MN
Zip : 55372-9782
Country : US
Telephone Number : 612-239-2599
Fax Number :
Provider Business Practice Location Address
First Line : 815 FOREST AVE
Second Line :
City : NORTHFIELD
State : MN
Zip : 55057-1643
Country : US
Telephone Number : 507-664-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2020
Last Update Date : 06/03/2026

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Directions to “ KRISTEN NICOLE REINKE MS” Practice Location

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