Organization
KIDS UNLIMITED LEARNING ACADEMY OF FT. SMITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY KELLER (OWNER)
(479) 755-6601
Entity
Organization
Contact information
Practice address
5400 EUPER LN, FORT SMITH, AR 72903-3232
(479) 755-6601
Mailing address
5400 EUPER LN, FORT SMITH, AR 72903-3232
(479) 755-6601
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198333724
—
AR
Enumeration date
04/01/2014
Last updated
02/16/2016
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