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KIDS EL MELBOURNE NPI 1265955512


NPI Information

NPI: 1265955512
Provider Name: KIDS EL MELBOURNE
Classification: Pediatrics - 2080P0008X
Entity Type: Organization

Specialization: Neurodevelopmental Disabilities

Address:
889 EAST MAIN
MELBOURNE, AR
ZIP 72556
Phone: (870) 368-4586
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KIDS EL MELBOURNE is a neurodevelopmental disabilities pediatrics in Melbourne, AR. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. KIDS EL MELBOURNE NPI is 1265955512. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

889 EAST MAIN
MELBOURNE, AR
ZIP 72556
Phone: (870) 368-4586
Fax: (870) 368-4587

The provider's authorized official is Debbie Coleman .
The authorized official title is Owner and has the following contact phone number (870) 368-4586.

The enumeration date for this NPI number is 7/19/2017 and was last updated on 7/19/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0008XPediatricsNeurodevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.