Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY LYNN WILSON
NPI 1710290184
Speech-Language Pathologist in Fort Benning, GA

Q: What is Kelly Wilson's NPI number?

The NPI number for Kelly Wilson is 1710290184. It was assigned to this individual provider in the NPPES registry on July 14, 2010.

Q: What is Kelly Wilson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Wilson was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 14, 2010

6600 VAN AALST BLVD BLDG 9250, FORT BENNING, GA 31905(706) 545-5560 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 26, 2026, Dec 13, 2023, Jan 24, 2017 and 1 more (4 updates tracked since 2017).

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About Kelly Lynn Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY LYNN WILSON (NPI 1710290184) is an individual speech-language pathologist provider in Fort Benning, Georgia, licensed in Florida (SA13784) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1710290184

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLY LYNN WILSON

Location Address6600 VAN AALST BLVD BLDG 9250Fort Benning, GA 31905-2102

Mailing Address6600 Van Aalst Blvd Bldg 9250Fort Benning, GA 31905-2102 · (706) 545-5560

Phone(706) 545-5560

Sole ProprietorYes

Enumeration DateJuly 14, 2010

Last NPPES UpdateAugust 26, 20264 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1710290184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in FL · SA13784

Definition

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.

6600 VAN AALST BLVD BLDG 9250, Fort Benning, GA 31905

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Other Identifiers 2

Other80S945TX · Blue Cross Blue Shield

Medicaid214307501TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN RICHEL

Student in an Organized Health Care Education/Training Program

6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905

Muscogee County (762) 408-2613

PATRICIA LEA MARRERO

Nurse Practitioner (Family)

6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905

Muscogee County (762) 408-0456

BRIAN DOUGLAS FOOR PA

Physician Assistant (Surgical)

6600 VAN AALST BLVD BLDG 9250
COLUMBUS, GA 31905

Muscogee County (706) 408-3356

MATTHEW GALE PT, DPT, NCS, OCS

Physical Therapist

6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905

Muscogee County (762) 408-0455

VIRGINIA LADNER MS, RD, LD

Dietitian, Registered

6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905

Muscogee County (404) 561-5456

DR. YOLANDA GRAY-DAVIS M.D.

Family Medicine

6600 VAN AALST BLVD BLDG 9250
FORT BENNING, GA 31905

Muscogee County (762) 408-2273

DR. RAYMOND DANIEL VICKERY DO

Family Medicine

6600 VAN AALST BLVD BLDG 9250
FORT BENNING, GA 31905

Muscogee County (762) 408-2532

RUIZHI WU

Student in an Organized Health Care Education/Training Program

6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905

Muscogee County (762) 408-2613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Wilson's NPI number?

The NPI number for Kelly Wilson is 1710290184. It was assigned to this individual provider in the NPPES registry on July 14, 2010.

Where is Kelly Wilson located?

Kelly Wilson practices at 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905. The listed phone number is (706) 545-5560.

What is Kelly Wilson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kelly Wilson was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.