KID'S CLINIC, PLLC
NPI 1477642791
General Practice in Collinsville, MS

Q: What is Kid's Clinic, PLLC's NPI number?

The NPI number for Kid's Clinic, PLLC is 1477642791. It was assigned to this organization in the NPPES registry on October 12, 2006.

Q: What is Kid's Clinic, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since October 12, 2006

9325C HIGHWAY 19 N, COLLINSVILLE, MS 39325(601) 427-2752(601) 427-2800 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kid's Clinic, Pllc NPPES

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

KID'S CLINIC, PLLC (NPI 1477642791) is a healthcare organization registered as a general practice in Collinsville, Mississippi and active in the NPI registry since October 2006. The organization lists Tammy N Henderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1477642791

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameKID'S CLINIC, PLLC

Location Address9325C HIGHWAY 19 NCollinsville, MS 39325-9219

Mailing Address9325c Highway 19 NCollinsville, MS 39325-9219 · (601) 427-2752 · Fax (601) 427-2800

Phone(601) 427-2752

Fax(601) 427-2800

Organization SubpartNo

Authorized OfficialTammy N HendersonOwner · (601) 427-2752

Enumeration DateOctober 12, 2006

Last NPPES UpdateJune 4, 2013

✔ NPI 1477642791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MS · 13886

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

9325C HIGHWAY 19 N, Collinsville, MS 39325

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Other Identifiers 2

Medicare UPING12784MS

Medicaid00121471MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TAMMY N HENDERSON MD

General Practice

9325C HIGHWAY 19 N
COLLINSVILLE, MS 39325

Lauderdale County (601) 626-7108

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 Kid's Clinic, PLLC's NPI number?

The NPI number for Kid's Clinic, PLLC is 1477642791. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Kid's Clinic, PLLC located?

Kid's Clinic, PLLC is located at 9325C Highway 19 N, Collinsville, MS 39325. The listed phone number is (601) 427-2752.

What is Kid's Clinic, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Kid's Clinic, PLLC was last updated on June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.