Kaitlyn Kerns, MCD, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · De Witt, AR
NPI 1194365064 · NPPES record last updated Apr 8, 2025
Key facts
- NPI
- 1194365064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 200957 (AR)
- Practice address
- 1841 S Grandview Dr
De Witt, AR 72042-3450 - Phone
- (870) 995-0770
- NPI assigned
- Jan 8, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200957 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids for the Future of Marianna, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 200957 | AR | Yes |
Addresses
Primary practice location
1841 S Grandview Dr
De Witt, AR 72042-3450
Mailing address
19 Green Meadow Dr
De Witt, AR 72042-3421
Phone (870) 995-0770
Other names
- Kaitlyn Wiles
Other providers in De Witt, AR
- Darby Wray Horton
- Debra Horton
- Hallie Elizabeth Horton
- Karen Sue Hudspeth
- Helen Jennings-Hood
- Hayden Leibrock
- LHCG Lxviii, LLC
- Brittany Ligon
- Gi Lim
- Mid-Delta Health Systems, Inc.
All providers in De Witt, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.