MR. Kenneth Dwayne Wilkerson, M.S., CCC-SLP
NPI #1316090053 in Portales, New Mexico
Provider Information
- NPI Number
- 1316090053
- Entity Type
- Individual
- Name
- MR. Kenneth Dwayne Wilkerson, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Jan 18, 2007
- Last Updated
- May 27, 2009
Practice Location
- Address
- 1100 LIBRA DR
- City
- Portales
- State
- New Mexico
- ZIP Code
- 88130-6124
- Phone
- (575) 693-8865
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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