Kennelly Speech Language Pathology Ltd
NPI 1154370187ActiveOrganization· Speech-Language Pathologist· Fargo, ND
Speech-Language Pathologist in Fargo, North Dakota, registered in NPPES in May 2006. The authorized official on file is Nanette S. Kennelly, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154370187 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 8, 2006 |
| Last updated in NPPES | Jun 20, 2024 |
| Certified by provider | Jun 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 664 | ND |
| Clinic/Center, Hearing and Speech | 261QH0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ND) |
|---|
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