Organization
KIDS EL MELBOURNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE COLEMAN (OWNER)
(870) 368-4586
Entity
Organization
Contact information
Practice address
889 EAST MAIN, MELBOURNE, AR 72556
(870) 368-4586
(870) 368-4587
Mailing address
PO BOX 967, MELBOURNE, AR 72556
(870) 368-4586
(870) 368-4587
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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