Organization
KIDDIE KINGDUM ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIERRA TRAVIS (OWNER)
(248) 515-0549
Entity
Organization
Contact information
Practice address
1400 SCOTT LAKE RD, WATERFORD, MI 48328-1534
(248) 515-0549
Mailing address
1400 SCOTT LAKE RD, WATERFORD, MI 48328-1534
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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