Kande Perkins, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Colfax, LA

NPI 1316726243 · NPPES record last updated Sep 28, 2023

Key facts

NPI
1316726243
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
5903 (LA)
Practice address
512 Main St
Colfax, LA 71417-1523
Phone
(318) 627-3274
NPI assigned
Sep 28, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5903LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grant Parish School Board Past
since Oct 1, 2023
Accepting new patients
Grant Parish School Board Past
since Oct 1, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5903 LA Yes

Addresses

Primary practice location

512 Main St
Colfax, LA 71417-1523

Mailing address

PO Box 208
Colfax, LA 71417-0208

Other practice location 1

17779 Highway 167
Dry Prong, LA 71423-9205
Phone (318) 899-3331

Other providers in Colfax, LA

All providers in Colfax, LA · Speech-Language Pathologist in Louisiana

Sources for this page

Verify at the official NPI Registry.