Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kimberly Renee Wilson-Lewis, PHD/CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1770976144

Dr. Kimberly Renee Wilson-Lewis, PHD/CCC-SLP is a Speech-Language Pathologist in Kingsport, Tennessee. Works from 4 locations. Licensed in Georgia and Tennessee.

Licensed in
GA, TN
In the registry since
2015
Specialties on file
2

Practice location Address checks out

462 Breckenridge Trce
Kingsport, TN 37663-2988
Phone: (615) 669-6418
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 572 Preserve Park Dr, Loganville, GA 30052-5872 — (678) 667-4650
  • 156 S. Dossett Drive, Johnson City, TN 37614 — (423) 439-4355
  • 156 S. Dossett Drive, Johnson City, TN 37614 — (423) 439-4355

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 6628 (TN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SLP006884 (GA)

Record details

NPI number1770976144
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD/CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 10, 2015
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020

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