Provider Demographics
NPI:1124901913
Name:WILHOIT, KATELYN
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:WILHOIT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12834 DAISY PL
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34212-2961
Mailing Address - Country:US
Mailing Address - Phone:941-705-5355
Mailing Address - Fax:
Practice Address - Street 1:3001 BOXER RD
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2103
Practice Address - Country:US
Practice Address - Phone:808-305-8400
Practice Address - Fax:808-673-7403
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist