| Kidworx Academy | |
|
816 N Main St, Harrison, AR 72601-2915 | |
| (870) 204-6191 | |
| Not Available |
| Full Name | Kidworx Academy |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 816 N Main St, Harrison, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285911768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1030103 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kidworx Academy 816 N Main St, Harrison, AR 72601-2915 Ph: (870) 204-6191 | Kidworx Academy 816 N Main St, Harrison, AR 72601-2915 Ph: (870) 204-6191 |
Mr. Adam Patrick Sova, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 N Main St, Harrison, AR 72601 Phone: 870-414-4522 | |
Mrs. Miranda Lee Cornett, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 N Main St, Harrison, AR 72601 Phone: 870-414-4000 | |
Ashleigh Elizabeth Pharis, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 North Main, Harrison, AR 72601 Phone: 870-414-4000 | |
Mrs. Tammie Jenkins Gimenez, MHS,R.D.,L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 N Main St, Harrison, AR 72601 Phone: 870-414-4047 |