Provider Demographics
NPI:1811999287
Name:WILLIAMS, KADYN OCHS (AUD)
Entity type:Individual
Prefix:
First Name:KADYN
Middle Name:OCHS
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6018 SANDY SPRINGS CIR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3832
Mailing Address - Country:US
Mailing Address - Phone:404-256-5194
Mailing Address - Fax:404-256-5151
Practice Address - Street 1:6018 SANDY SPRINGS CIR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-3832
Practice Address - Country:US
Practice Address - Phone:404-256-5194
Practice Address - Fax:404-256-5151
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA519231H00000X, 237600000X
GAAU.D. 000519231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00714007AMedicaid
GA00714007DMedicaid
GA00714007BMedicaid
GA00362029BMedicaid
GA00714007CMedicaid
GA00362029AMedicaid
GA00362029AMedicaid