| Mr Kenneth Dwayne Wilkerson, MS, CCC-SLP | |
|
1100 Libra Dr, Portales, NM 88130-6124 | |
| (575) 693-8865 | |
| Not Available |
| Full Name | Mr Kenneth Dwayne Wilkerson |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 1100 Libra Dr, Portales, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316090053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 1040 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Dwayne Wilkerson, MS, CCC-SLP 1100 Libra Dr, Portales, NM 88130-6124 Ph: (575) 693-8865 | Mr Kenneth Dwayne Wilkerson, MS, CCC-SLP 1100 Libra Dr, Portales, NM 88130-6124 Ph: (575) 693-8865 |
Ciara Foust, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 S Abilene Ave, Portales, NM 88130 Phone: 575-359-3707 | |
Ms. Melissa Diane Pacheco, M.S., SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 S Abilene Ave, Portales, NM 88130 Phone: 505-359-3707 | |
James William Lovell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 S Avenue K, Portales, NM 88130 Phone: 575-562-4232 | |
Erin Standefer, MSCCCSLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1225 Libra Dr, Portales, NM 88130 Phone: 575-309-3434 | |
Mrs. Tiffany Marie Huizenga, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 S Abilene, Portales, NM 88130 Phone: 505-359-3707 Fax: 505-356-6682 | |
Taylor Rae Crabtree, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 S Ave K, Station 3, Shroc, Portales, NM 88130 Phone: 575-562-2160 | |
Ms. Deanna Mari Cordova, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1517 S Main Ave, Portales, NM 88130 Phone: 575-749-2711 |