Individual
KATI WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 RICHMOND RD, LEXINGTON, KY 40502-1204
(859) 554-8185
Mailing address
132 GLENDALE LN, SOMERSET, KY 42501-1112
(606) 219-1180
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
242715
—
235Z00000X
Speech-Language Pathologist
Primary
251230
KY
Other
Enumeration date
06/15/2018
Last updated
07/04/2025
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