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KID SUCCESS INC. NPI 1609997311


NPI Information

NPI: 1609997311
Provider Name: KID SUCCESS, INC.

Doing Business As: THE CENTER OF EARLY LEARNING

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
2740 COLLEGE AVENUE
CONWAY, AR
ZIP 72034
Phone: (501) 328-5696
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KID SUCCESS, INC. is a rehabilitation clinic center in Conway, AR. KID SUCCESS, INC. NPI is 1609997311. The provider is registered as an organization entity type.
The provider Is Doing Business As The Center Of Early Learning.

The provider's business location address is:

2740 COLLEGE AVENUE
CONWAY, AR
ZIP 72034
Phone: (501) 328-5696
Fax: (501) 328-5020

The provider's authorized official is Amanda Denton .
The authorized official title is Owner and has the following contact phone number (501) 329-5459.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 6/18/2008.


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
1261QR0400XClinic/CenterRehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1155749724MEDICAIDARKANSAS
2163166724MEDICAIDARKANSAS

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: 11/14/2023

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