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KENTERRIOUS BROOKS-MIMS
NPI 1073043493
Contractor in Albany, GA

Active since June 18, 2017
408 POINCIANA AVE, ALBANY, GA 31705(229) 255-6842 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 18, 2017 (2 updates tracked since 2017).

About Kenterrious Brooks-mims NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENTERRIOUS BROOKS-MIMS (NPI 1073043493) is an individual contractor provider in Albany, Georgia and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1073043493
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameKENTERRIOUS BROOKS-MIMS
Location Address408 POINCIANA AVEAlbany, GA 31705-4502
Mailing Address408 Poinciana AveAlbany, GA 31705-4502
Phone(229) 255-6842
Sole ProprietorNo
Enumeration DateJune 18, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1073043493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
408 POINCIANA AVE, Albany, GA 31705
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenterrious Brooks-mims's NPI number?

The NPI number for Kenterrious Brooks-mims is 1073043493. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Where is Kenterrious Brooks-mims located?

Kenterrious Brooks-mims practices at 408 Poinciana Ave, Albany, GA 31705. The listed phone number is (229) 255-6842.

What is Kenterrious Brooks-mims's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Kenterrious Brooks-mims was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.