MR. KENNETH DWAYNE WILKERSON (NPI# 1316090053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316090053 |
| Entity Type | Individual |
| Full Name | MR. KENNETH DWAYNE WILKERSON |
| Credential | M.S., CCC-SLP |
| Practice Address |
1100 Libra Dr Portales NM 88130-6124 |
| Practice Telephone | 5756938865 |
| Mailing Telephone | 5756938865 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2009-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 1040 | NM | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033327994 | Kenneth Lynly Wilkerson | Specialist | 44 Stiles Road, Salem, NH 03079 | 2007-05-21 |
| Street Address |
1100 LIBRA DR |
| City | PORTALES |
| State | NM |
| Zip Code | 88130-6124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861319 | Cynthia Alarid | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Schroc, Portales, NM 88130 | 2020-01-28 |
| 1649800384 | Gurveen Sandhu | Student in an Organized Health Care Education/Training Program | 1500 S Ave. K Station 3, Shroc, Portales, NM 88130 | 2020-01-22 |
| 1740744226 | Ashley Mcclelland | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K, Station 3 Shroc, Portales, NM 88130 | 2019-01-29 |
| 1285103218 | Jessica Dianne Terry | Behavior Technician | 743 S Hills Oak Rd, Portales, NM 88130 | 2018-11-20 |
| 1619445822 | Jonna Smith | Marriage & Family Therapist | 44 S Roosevelt Road N, Portales, NM 88130 | 2018-11-06 |
| 1932689254 | Carolina Yanez | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K Station 3 Shroc, Portales, NM 88130 | 2018-08-16 |
| 1033611918 | Shelley Marie Laya | Student in an Organized Health Care Education/Training Program | 1500 S. Ave K., Station 3, Shroc, Portales Nm, CA 88130 | 2018-03-06 |
| 1750800744 | Sara Rose Mccarty | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Shro, Portales, NM 88130 | 2017-09-12 |
| 1528584463 | Calli Bane | Student in an Organized Health Care Education/Training Program | 1500 South Ave. K, Station 3, Shroc, Portales, NM 88130 | 2017-08-22 |
| 1700302890 | Victoria L Young | Speech-Language Pathologist | 1500 South Ave K, Station 3 Shroc, Portales, NM 88130 | 2017-08-21 |
| Find all providers in zip 88130 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035705 | Deanna Mari Cordova | Speech-Language Pathologist | 1517 S Main Ave, Portales, NM 88130-6928 | 2020-08-24 |
| 1235658048 | Ashley Mcbroom | Speech-Language Pathologist | 201 S Knoxville St, Portales, NM 88130-6100 | 2017-09-12 |
| 1700302890 | Victoria L Young | Speech-Language Pathologist | 1500 South Ave K, Station 3 Shroc, Portales, NM 88130 | 2017-08-21 |
| 1114379229 | Erin Gutierrez | Speech-Language Pathologist | 1304 Oakwood Cir, Portales, NM 88130-6504 | 2016-07-13 |
| 1568760445 | Regional Education Center | Speech-Language Pathologist | 1500 S Avenue K, Station #9, Portales, NM 88130-7400 | 2011-03-02 |
| 1730355090 | Claudia J. Bird | Speech-Language Pathologist | Station 3, Enmu Cdis Dept., Portales, NM 88130 | 2008-05-06 |
| 1568684611 | Millie R. Brooks | Speech-Language Pathologist | 1744 S. Roos. Rd. 2.5, Portales, NM 88130 | 2007-05-02 |
| 1982763157 | Janet L. Shearer | Speech-Language Pathologist | 416 E 17th St, Portales, NM 88130-9214 | 2006-12-06 |
| 1134295306 | Tiffany Marie Huizenga | Speech-Language Pathologist | 501 S Abilene, Portales, NM 88130 | 2006-11-28 |
| 1699256875 | Chritina Timsuren | Speech-Language Pathologist | 501 S Abilene Ave, Portales, NM 88130-6380 | 2018-08-24 |
| Find all providers in PORTALES | ||||
Please comment or provide details below to improve the information on MR. KENNETH DWAYNE WILKERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.