Kelly Lynn Wilson

NPI 1710290184 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1710290184
Gender Female
Enumeration Date 07/14/2010
Last Updated 10/01/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
250 SANTA FE DR
WEATHERFORD TX, 76086-6585, US
Phone (817) 550-5058
Fax
Business Location
5914 DRY CREEK LN
ARLINGTON TX, 76017-3938, US
Phone (214) 789-7891
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Texas
License Number 105709
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According to our database, Kelly Lynn Wilson NPI is 1710290184, taxonomy code is 235Z00000X and license number is 105709, license state is located at Texas. Kelly Lynn Wilson physically located at 250 Santa Fe Dr, Weatherford TX, 76086-6585. NPI Number Kelly Lynn Wilson has the Individual type.

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1710290184 NPI number is provided on an as is basis without warranty of any kind. 1710290184 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Lynn Wilson are for informational purposes only.