Provider Demographics
NPI:1780019133
Name:WILHOIT, ELIZABETH KERR (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:KERR
Last Name:WILHOIT
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4028 PALMETTO DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1342
Mailing Address - Country:US
Mailing Address - Phone:843-345-2452
Mailing Address - Fax:
Practice Address - Street 1:4028 PALMETTO DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1342
Practice Address - Country:US
Practice Address - Phone:843-345-2452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3669235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist