KENNETH DWAYNE WILKERSON

PORTALES, NM
NPI1316090053
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NM  1040)
Enumeration Date2007-01-18
Last Update Date2009-05-27
Business Address
Mr. KENNETH DWAYNE WILKERSON M.S., CCC-SLP
1100 LIBRA DR
PORTALES, NM 88130-6124
Phone number: 575-693-8865
Mailing Address
Mr. KENNETH DWAYNE WILKERSON M.S., CCC-SLP
1100 LIBRA DR
PORTALES, NM 88130-6124
Phone number: 575-693-8865