MEDICARE: MRS. KENNYATTA GILCHRIST FORD CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist		SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000	OTHER	SC	N/A

General Provider Information

NPI Number	:	1811511413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KENNYATTA GILCHRIST FORD CCC-SLP

Provider Business Mailing Address
First Line	:	102 RHETT CT
Second Line	:
City	:	GREENWOOD
State	:	SC
Zip	:	29649-2272
Country	:	US
Telephone Number	:	864-828-0102
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 RHETT CT
Second Line	:
City	:	GREENWOOD
State	:	SC
Zip	:	29649-2272
Country	:	US
Telephone Number	:	864-828-0102
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2020
Last Update Date	:	03/06/2026

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Directions to “ MRS. KENNYATTA GILCHRIST FORD CCC-SLP” Practice Location

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