Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH DWAYNE WILKERSON, M.S., CCC-SLP
Active Sole ProprietorMR. KENNETH DWAYNE WILKERSON, M.S., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in PORTALES, New Mexico. NPI 1316090053 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · PORTALES, NM
Registration Details
- NPI Number
- 1316090053
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2007 (19.581202569097 yrs)
- Last Updated
- May 27, 2009
- License
-
1040 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 LIBRA DRPORTALES, NM, 881306124Browse NM providers · Browse ZIP 88130
- Phone
- 5756938865
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in PORTALES, NM
| Name | Credential | NPI |
|---|---|---|
| MRS. TIFFANY MARIE HUIZENGA | SLP | 1134295306 |
| MS. DEBRA G HILL | CCC-SLP | 1568539260 |
| MS. MELISSA DIANE PACHECO | M.S., SLP | 1043387848 |
| SHIRLEY K TAFOYA | CCC-SLP | 1689741480 |
| MRS. CHRISTI L. LUCERO | CCC-SLP | 1841367406 |
| MRS. CHRISTY ANN TURNBOUGH | MS, CCC-SLP | 1376611749 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.