Kylie Wiedeman

ActiveIndividual ProviderSpecialty not listed
NPI issued: May 13, 2026

Quick Facts

NPI Number
1104754654
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy2355S0801X — Specialty not listed
Phone
(870) 926-5420
StateAR

NPI Validation Status: Verified

Valid 10-digit NPI number (1104754654)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 13, 2026)
Data source: CMS NPPES

Provider Overview

KYLIE WIEDEMAN is a Healthcare provider based in Corning, AR who has been registered with CMS since 2026. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104754654
Provider TypeIndividual Provider
GenderFemale
StatusActive
Enumeration DateMay 13, 2026

Practice Location

CityCorning
StateAR
ZIP Code72422-2722
Phone(870) 926-5420

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code2355S0801X
License StateAR

Mailing Address

CityCorning
StateAR
ZIP Code72422-2722
Phone(870) 926-5420
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104754654 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104754654for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104754654 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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13,523
Specialty not listed Providers in the US

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People Also Ask

What is Kylie Wiedeman's NPI number?
Kylie Wiedeman's NPI number is 1104754654, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kylie Wiedeman's NPI currently active?
Yes, Kylie Wiedeman's NPI status is Active as of the latest CMS NPPES database updates.
What does Kylie Wiedeman specialize in?
Kylie Wiedeman specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 2355S0801X.
Where does Kylie Wiedeman practice?
Kylie Wiedeman practices in Corning, AR 72422-2722.
When was Kylie Wiedeman's NPI issued?
Kylie Wiedeman's NPI was issued on May 13, 2026.
What is Kylie Wiedeman's provider type?
Kylie Wiedeman is registered as an Individual Provider under CMS NPI Type 1.