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Active NPI 1104754654 Individual Practitioner Female Practitioner

Kylie Wiedeman

Specialist/Technologist - Speech-Language Assistant • Corning, AR

Professional Overview & Biography Verified Profile Summary

Kylie Wiedeman is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Corning, AR. Practice services are available at 600 W ELM ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 W Elm St

Corning, AR 724222722

Telephone 8709265420
Fax 8706342009
Associated Practice Facility / Clinic
🏢 Amg Enterprises, Inc Facility NPI 1760871636

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Corning, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Corning, AR (280 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: 2026-05-13
Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Cirstin Sullens , OTR, L

Occupational Therapist - Pediatrics

NPI 1225983851

Occupational Therapist Registered, L

Laurie Mock , SLPA

Specialist/Technologist - Speech-Language Assistant

NPI 1437840782

Speech-Language Pathology Assistant

Amber Gifford

Speech-Language Pathologist

NPI 1831327188
Mckinlee Williams

Specialist/Technologist - Speech-Language Assistant

NPI 1831906304

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 13, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2026

Registered at 600 W ELM ST, CORNING, AR 724222722 (Tel: 8709265420)

📍
Updated Business Mailing Address May 13, 2026

Registered at 600 W ELM ST, CORNING, AR 724222722 (Tel: 8709265420)

👤
Provider Name / Credentials Updated May 13, 2026

Recorded as KYLIE WIEDEMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2026

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration May 13, 2026

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: 1104754654
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2026
Last Update: May 13, 2026
Sole Proprietor: No

Mailing Address

600 W Elm St

Corning, AR 724222722

Phone: 8709265420

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.