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Kelly Bertenshaw

NPI 1043563570ActiveIndividual· Speech-Language Pathologist· St Louis Park, MN

Speech-Language Pathologist in St Louis Park, Minnesota, licensed in MN, with an NPI issued in October 2012.

Overview

NPI1043563570
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedOct 22, 2012
Last updated in NPPESOct 22, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X8926MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Speech-Language Pathologist providers in St Louis Park

All Speech-Language Pathologist providers in Minnesota →