| Kelly Lynn Wilson, | |
|
6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 | |
| (706) 545-5560 | |
| Not Available |
| Full Name | Kelly Lynn Wilson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 6600 Van Aalst Blvd Bldg 9250, Fort Benning, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710290184 | NPI | - | NPPES |
| 214307501 | Medicaid | TX | |
| 80S945 | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA13784 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Lynn Wilson, 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 Ph: (706) 545-5560 | Kelly Lynn Wilson, 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 Ph: (706) 545-5560 |
Mrs. Doris Davis, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905 Phone: 762-408-3500 |
Mr. Toby Stephan, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7950 Martin Loop, Fort Benning, GA 31905 Phone: 706-545-9114 |
Jennifer B Taff, M.ED. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-3500 |