Organization
KIDWORX ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKEY RICHARDSON (DIRECTOR)
(870) 204-6191
Entity
Organization
Contact information
Practice address
816 N MAIN ST, HARRISON, AR 72601-2915
(870) 204-6191
Mailing address
816 N MAIN ST, HARRISON, AR 72601-2915
(870) 204-6191
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1030103
AR
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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