Provider Demographics
NPI:1386773083
Name:KINNEY, DARON RAY (MS, ATC, LAT)
Entity type:Individual
Prefix:MR
First Name:DARON
Middle Name:RAY
Last Name:KINNEY
Suffix:
Gender:M
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 COWBOYS PKWY APT 2042
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3009
Mailing Address - Country:US
Mailing Address - Phone:972-983-4949
Mailing Address - Fax:
Practice Address - Street 1:2335 N JOSEY LN
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-1614
Practice Address - Country:US
Practice Address - Phone:972-968-5302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer