NPI 1013319763

Kids Therapy

Organisation Exclusive Provider Organization Little Rock, AR

Practice location

Address: 4124 W 11th St, Little Rock, AR 72204-2008
Phone: (501) 612-4406

Authorised official

Name: Antoinette Beaugard
Title: Owner
Phone: (501) 612-4406

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Arkansas →

Registry record

NPI: 1013319763
Entity type: Organization
NPI issued: 24 Sep 2014
Record last updated: 24 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.