Healthcare Provider Details

I. General information

NPI: 1750202016
Provider Name (Legal Business Name): KIDD KAVE LEARNING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8319 GEYER SPRINGS RD
LITTLE ROCK AR
72209-4945
US

IV. Provider business mailing address

22 REDLEAF CIR
LITTLE ROCK AR
72210-4729
US

V. Phone/Fax

Practice location:
  • Phone: 501-355-7309
  • Fax:
Mailing address:
  • Phone: 501-355-7309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAQUISHUN JIMERSON
Title or Position: OWNER
Credential:
Phone: 501-355-7309