Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508752171 Individual Practitioner Female Practitioner

Kelly C Gorder , MS, SLP-CCC

Speech-Language Pathologist • Otsego, MN

Professional Overview & Biography Verified Profile Summary

Kelly Gorder, MS, SLP-CCC is a registered healthcare professional specializing in Speech-Language Pathologist in Otsego, MN. Practice services are available at 16940 56TH CT NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16940 56th Ct Ne

Otsego, MN 553745303

Telephone 7633001862

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Otsego, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Otsego, MN (3097 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-17
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 12080263

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 17, 2025

NPI status registered as active in NPPES database

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Updated Practice Location June 17, 2025

Registered at 16940 56TH CT NE, OTSEGO, MN 553745303 (Tel: 7633001862)

📍
Updated Business Mailing Address June 17, 2025

Registered at 16940 56TH CT NE, OTSEGO, MN 553745303 (Tel: 7633001862)

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Provider Name / Credentials Updated June 17, 2025

Recorded as KELLY GORDER, MS, SLP-CCC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2025

Speech-Language Pathologist (License #12080263 in MN)

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Initial NPI Registration & Enumeration June 17, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508752171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2025
Last Update: June 17, 2025
Sole Proprietor: Yes

Mailing Address

16940 56th Ct Ne

Otsego, MN 553745303

Phone: 7633001862

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.