Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Dawn Wilson, MED, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1265710263

Kimberly Dawn Wilson, MED, CCC-SLP is a Speech-Language Pathologist in Tifton, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1488 Old Ocilla Rd
Tifton, GA 31794-4152
Phone: (229) 386-5200
Fax: (229) 386-1412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP007348 (GA)

Record details

NPI number1265710263
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 26, 2011
Last updated in NPPESJuly 26, 2011

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