MEDICARE: KIMBERLY-ANN WILSON MS, 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	05107	MD

General Provider Information

NPI Number	:	1972072973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY-ANN WILSON MS, CCC-SLP

Provider Business Mailing Address
First Line	:	10910 CLARKSVILLE PIKE
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-6106
Country	:	US
Telephone Number	:	410-313-6600
Fax Number	:

Provider Business Practice Location Address
First Line	:	9440 OLD FREDERICK RD
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-1799
Country	:	US
Telephone Number	:	410-313-2880
Fax Number	:

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

Provider Enumeration Date	:	11/19/2018
Last Update Date	:	11/19/2018

Similar Medicare Providers

1639172901 — MR. PAUL EDWARD KLEIN
Practice Location Address:

1799 KIOWA AVE STE 104
LAKE HAVASU CITY, AZ
86403

Practice Phone: 928-505-1030
Practice Fax: 928-453-0461

1477639789 — WILLIAM BAO, MD INC
Practice Location Address:

17595 ALMAHURST ST STE 202
CITY OF INDUSTRY, CA
91748-1799

Practice Phone: 626-581-4990
Practice Fax: 626-581-4011

1386779833 — MS. EMERITA BANUELOS RODRIGUEZ LCSW
Practice Location Address:

1799 ESPLANADE WAY , 1965 LIVE OAK BLVD.
YUBA CITY, CA
95993-1011

Practice Phone: 530-415-1874
Practice Fax: 530-671-0943

1932220050 — DR. KANYANG WU PHD, L.AC.
Practice Location Address:

17595 ALMAHURST ST , STE 222
CITY OF INDUSTRY, CA
91748-1799

Practice Phone: 626-839-9988
Practice Fax: 626-839-9988

1972825644 — HAVASU REGIONAL MEDICAL CENTER LLC
Practice Location Address:

1799 KIOWA AVE , # 104
LAKE HAVASU CITY, AZ
86403-2881

Practice Phone: 928-505-1030
Practice Fax:

1629350533 — HAPPY VALLEY ACUPUNCTURE & HERBAL CENTER, INC.
Practice Location Address:

17595 ALMAHURST ST STE 230
CITY OF INDUSTRY, CA
91748-1799

Practice Phone: 626-839-5697
Practice Fax:

Directions to “ KIMBERLY-ANN WILSON MS, CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.