Provider Demographics
NPI:1538958319
Name:SCHNEIDER, KELLY ANN (AUD)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:ANN
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5145 151ST ST W
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-7103
Mailing Address - Country:US
Mailing Address - Phone:651-231-8155
Mailing Address - Fax:
Practice Address - Street 1:5565 BLAINE AVE E
Practice Address - Street 2:#225
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55076
Practice Address - Country:US
Practice Address - Phone:651-888-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist