Kimmons, Mia Jaquay

Kimmons, Mia Jaquay is an sole proprietor health care provider with primary practice located at 7145 Swinnea Road Suite # 1, Southaven MS 38671-6013. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Kimmons, Mia Jaquay can be contacted via phone (662) 349-2370.

Contact Information

Primary practice address
7145 Swinnea Road Suite # 1 Southaven MS 38671-6013
Phone: (662) 349-2370
Fax: (662) 349-2384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S3061 Mississippi
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3231 Tennessee

Profile Details

NPI number 1922286863
LBN Legal business name Kimmons, Mia Jaquay
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2008
Last updated Nov 16th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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