Individual
DR. MARK ELLSWORTH KLEINMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2412 N JOHN B DENNIS HWY, KINGSPORT, TN 37660-4772
(423) 578-4364
(423) 578-4372
Mailing address
320 PROSPERITY DR, KNOXVILLE, TN 37923-4709
(423) 756-1512
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
44136
KY
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
44136
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100169870
—
KY
Enumeration date
07/16/2008
Last updated
11/04/2025
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