Wilkerson, Kenneth Dwayne

Wilkerson, Kenneth Dwayne is an sole proprietor health care provider with primary practice located at 1100 Libra Dr , Portales NM 88130-6124. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Wilkerson, Kenneth Dwayne can be contacted via phone (575) 693-8865.

Contact Information

Primary practice address
1100 Libra Dr Portales NM 88130-6124
Phone: (575) 693-8865
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1040 New Mexico

Profile Details

NPI number 1316090053
LBN Legal business name Wilkerson, Kenneth Dwayne
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated May 27th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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