Organization
KIDS UNLIMITED LEARNING ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY KELLER MCD, CCC-SLP (CEO)
(501) 268-3400
Entity
Organization
Contact information
Practice address
502 E RACE AVE, SEARCY, AR 72143-4417
(501) 268-3400
Mailing address
502 E RACE AVE, SEARCY, AR 72143-4417
(501) 268-3400
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
28756
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197935724
—
AR
Enumeration date
06/13/2013
Last updated
02/16/2016
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