NPI 1265955512 · live from the CMS NPI Registry
Kids El Melbourne
Pediatrics, Neurodevelopmental Disabilities in Melbourne, AR. National Provider Identifier 1265955512, active.
NPI record
| NPI | 1265955512 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Neurodevelopmental Disabilities 2080P0008X |
| Practice location | 889 East Main, Melbourne, AR 72556 |
| Practice phone | 870-368-4586 |
| Mailing address | Po Box 967, Melbourne, AR 72556 |
| Enumerated | July 19, 2017 |
| Last updated | July 19, 2017 |
| Authorized official | Debbie Coleman, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Neurodevelopmental Disabilities primary | 2080P0008X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.