Individual
MRS. TIFFANY RENEE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
912 WALNUT HILL DR, LONGVIEW, TX 75605-5052
(903) 291-6300
(903) 291-6305
Mailing address
10700 N RODNEY PARHAM RD STE A7, LITTLE ROCK, AR 72212-4159
(501) 225-6060
(501) 225-6450
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
1116A
AL
231H00000X
Audiologist
Primary
80421
TX
237600000X
Audiologist-Hearing Aid Fitter
1116A
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237677720
—
AR
Enumeration date
07/18/2011
Last updated
04/20/2022
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