Individual
MS. MARISA JAYE KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4101 W. NASHVILLE ST., BROKEN ARROW, OK 74012
(918) 829-8263
(501) 223-8075
Mailing address
4101 W. NASHVILLE ST., BROKEN ARROW, OK 74012
(918) 829-8263
(501) 223-8075
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1907
AR
Other
Enumeration date
12/15/2009
Last updated
07/10/2019
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