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Kiddie Kingdum Academy

NPI 1104760990ActiveOrganization· Specialist· Waterford, MI

Specialist in Waterford, Michigan, registered in NPPES in April 2026. The authorized official on file is Sierra Travis, Owner.

Overview

NPI1104760990
StatusActive
Entity typeOrganization
NPI issuedApr 14, 2026
Last updated in NPPESApr 14, 2026
Certified by providerApr 14, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Specialist providers in Waterford

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