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NPI Code Detail

MEDICARE: KIDS UNLIMITED LEARNING ACADEMY

MEDICARE: KIDS UNLIMITED LEARNING ACADEMY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0400XRehabilitation Clinic/Center28756AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730527540
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIDS UNLIMITED LEARNING ACADEMY
Provider Business Mailing Address
First Line : 502 E RACE AVE
Second Line :
City : SEARCY
State : AR
Zip : 72143-4417
Country : US
Telephone Number : 501-268-3400
Fax Number :
Provider Business Practice Location Address
First Line : 502 E RACE AVE
Second Line :
City : SEARCY
State : AR
Zip : 72143-4417
Country : US
Telephone Number : 501-268-3400
Fax Number :
Authorized Official
Title or Position : CEO
Name : SHELLY KELLER
Credential : MCD, CCC-SLP
Telephone Number : 501-268-3400
Provider Enumeration Date : 06/13/2013
Last Update Date : 02/16/2016

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Directions to “KIDS UNLIMITED LEARNING ACADEMY ” Practice Location

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