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

Mia Jaquay Kimmons, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1922286863

Mia Jaquay Kimmons, MSCCC-SLP is a Speech-Language Pathologist in Southaven, Mississippi. Practices as a sole proprietor. Licensed in Mississippi and Tennessee.

Licensed in
MS, TN
In the registry since
2008
Specialties on file
2

Practice location Address checks out

7145 Swinnea Rd Ste # 1
Southaven, MS 38671-6013
Phone: (662) 349-2370
Fax: (662) 349-2384
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence S3061 (MS)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 3231 (TN)

Record details

NPI number1922286863
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 1, 2008
Last updated in NPPESNovember 16, 2010

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