Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kennedy Weiland

Individual provider Speech-Language Pathologist · NPI 1396121125

Kennedy Weiland is a Qualified Speech Language Pathologist in Mitchell, South Dakota. Qualified in 2015, 11 years ago. Practices with Avera Queen of Peace, a 115-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
11
Licensed in
SD
In the registry since
2015

Practice location Address checks out

501 W Havens Ave Ste 103
Mitchell, SD 57301-4366
Phone: (605) 995-6044
Fax: (605) 995-6044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 593-PROV (SD)

Record details

NPI number1396121125
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 4, 2015
Last updated in NPPESAugust 4, 2015
Mailing addressPo Box 1284, Mitchell, SD 57301-7284

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Avera Queen Of Peace — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mitchell