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

Kellie Mims

Individual provider Dental Hygienist · NPI 1710726922

Kellie Mims is a Dental Hygienist in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2024.

Licensed in
TN
In the registry since
2024

Practice location Address checks out

116 N Pauline St
Memphis, TN 38104-1005
Phone: (901) 523-8990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 5320 (TN)

Record details

NPI number1710726922
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address4625 Bakersfield Dr, Nesbit, MS 38651-6036

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