Individual
MARK KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4075 PARK AVE, MEMPHIS, TN 38111-7400
(901) 579-7833
Mailing address
3385 LONE ROCK DR, MEMPHIS, TN 38128-1119
(901) 579-7833
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1485841
TN
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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