Healthcare Provider Details

I. General information

NPI: 1053248161
Provider Name (Legal Business Name): KADY LYNN WILKINS CCC-SLP, L-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PRICE DR
WEST MONROE LA
71292-6315
US

IV. Provider business mailing address

800 CLAIBORNE ST
WEST MONROE LA
71291-2612
US

V. Phone/Fax

Practice location:
  • Phone: 318-387-0577
  • Fax: 318-387-6801
Mailing address:
  • Phone: 318-432-5400
  • Fax: 318-432-5599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9670
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: