Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nanette S Kennelly, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1316160914

Nanette S Kennelly, MSCCC-SLP is a Qualified Speech Language Pathologist in Fargo, North Dakota. Qualified in 1994, 32 years ago. Practices with Kennelly Speech-Language Pathology, Ltd, a 6-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
32
Licensed in
ND
In the registry since
2007
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Practice location Address checks out

1220 Main Ave Ste 100
Fargo, ND 58103-8201
Phone: (701) 364-5433
Fax: (701) 364-2256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 664 (ND)

Record details

NPI number1316160914
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedApril 11, 2007
Last updated in NPPESJuly 9, 2007

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Kennelly Speech-Language Pathology, Ltd. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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