Individual
KELLY LYNN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905-2102
(706) 545-7308
Mailing address
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905-2102
(706) 545-7308
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA13784
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214307501
—
TX
01
—
80S945
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/14/2010
Last updated
12/13/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us