Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kid's Clinic, PLLC

Organization General Practice Physician · NPI 1477642791

Kid's Clinic, PLLC is a General Practice Physician in Collinsville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

9325C Highway 19 N
Collinsville, MS 39325-9219
Phone: (601) 427-2752
Fax: (601) 427-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 13886 (MS)

Record details

NPI number1477642791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Henderson — Owner · (601) 427-2752
NPI enumeratedOctober 12, 2006
Last updated in NPPESJune 4, 2013
Mailing address9325c Highway 19 N, Collinsville, MS 39325-9219

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