Provider Demographics
NPI:1083928600
Name:KILBY, MEGAN (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:KILBY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:697 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28697-9562
Mailing Address - Country:US
Mailing Address - Phone:336-667-1555
Mailing Address - Fax:336-667-2088
Practice Address - Street 1:697 EDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28697-9562
Practice Address - Country:US
Practice Address - Phone:336-667-1555
Practice Address - Fax:336-667-2088
Is Sole Proprietor?:No
Enumeration Date:2010-08-06
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9532235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist