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

Active since July 14, 2010
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905(706) 545-7308 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2023, Jan 24, 2017, Jan 18, 2017 (3 updates tracked since 2017).

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 Moore, 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 Moore, GA 31905-2102
Mailing Address6600 Van Aalst Blvd Bldg 9250Fort Moore, GA 31905-2102 · (706) 545-7308
Phone(706) 545-7308
Sole ProprietorYes
Enumeration DateJuly 14, 2010
Last NPPES UpdateDecember 13, 20233 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
✔ 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 Moore, 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 Moore, GA 31905. The listed phone number is (706) 545-7308.

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 December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.