Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kimberly Dyane Mitchell, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1063620193

Mrs. Kimberly Dyane Mitchell, MA, CCC-SLP is a Speech-Language Pathologist in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

9040 Executive Park Dr Ste 105
Knoxville, TN 37923-4640
Phone: (865) 558-6473
Fax: (865) 769-0801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP0000001823 (TN)

Record details

NPI number1063620193
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESJuly 8, 2007

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