OrganizationActive
Kidz Kan, LLC
NPI 1013139401 · Occupational Therapist · Beebe, AR
Provider details
- NPI number
- 1013139401
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kelley Lewis, Administrator(501) 230-3100
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
27 Highway 64 West
Beebe, AR 72012-2094
Phone: (501) 230-3100
Fax: (501) 882-9825
Street-level locationGet directions
Mailing address
130 Underhill Rd
Beebe, AR 72012-9751
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2009-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.