Individual
MR. KENNETH P CLENIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5500 POPLAR AVE STE 11, MEMPHIS, TN 38119-3718
(901) 683-5971
(901) 683-7336
Mailing address
5500 POPLAR AVE STE 11, MEMPHIS, TN 38119-3718
(901) 683-5971
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC431
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050643
BCBS TN
TN
01
—
3068989002
CIGNA
TN
01
—
4269375
AETNA
TN
Enumeration date
07/07/2006
Last updated
02/21/2025
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