Kennelly Speech Language Pathology Ltd
Speech-Language Pathologist, in Fargo, ND. Organization (NPI-2).
NPI number1154370187
StatusActive
Last updated in NPPESJun 20, 2024
Details
- NPI
- 1154370187
- Entity type
- Organization (NPI-2)
- Legal business name
- Kennelly Speech Language Pathology Ltd
- Organization subpart
- No
- Enumeration date
- May 8, 2006
- Certification date
- Jun 20, 2024
- Last updated
- Jun 20, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 664 | ND | Yes |
| 261QH0700X | Clinic/Center, Hearing and Speech | – | – |
Other names
- Onword Therapy (Doing Business As)
Practice location
4450 31st Ave SSuite 103
Fargo, ND 58104
Phone 701-364-5433 · Fax 701-364-5431
Mailing address
4450 31st Ave SSuite 103
Fargo, ND 58104
Phone 701-364-5433 · Fax 701-364-5431
Authorized official
Nanette S Kennelly
Owner
7013645433
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