Individual provider · Type 1 NPI

Mark Ellsworth Kleinman, MD

Retina Specialist (Ophthalmology) Physician · Kingsport, TN

NPI number 1063676310 Active

Practice location

2412 N John B Dennis Hwy
Kingsport, TN 37660-4772

Call (423) 578-4364 Map

Fax (423) 578-4372

Mailing address

320 Prosperity Dr
Knoxville, TN 37923-4709

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician 207W00000X44136 (KY)
Retina Specialist (Ophthalmology) Physician Primary 207WX0107X44136 (KY)

Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

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About NPI 1063676310

Mark Ellsworth Kleinman, MD's National Provider Identifier is 1063676310, issued on Jul 16, 2008. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Kingsport, TN. The record was last updated on Nov 4, 2025.