Individual
DAVID KENNETH FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 W ELK AVE, SUITE 2, ELIZABETHTON, TN 37643-2848
(423) 543-1261
(423) 543-7500
Mailing address
1505 W ELK AVE, SUITE 2, ELIZABETHTON, TN 37643-2848
(423) 543-1261
(423) 543-7500
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
MD0000008020
TN
207R00000X
Internal Medicine Physician
Primary
8020
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110147422
RAILROAD MEDICARE
TN
01
—
202731
BLUECROSS BLUESHIELD
TN
01
—
P01302537
RR MEDICARE
TN
05
—
Q002461
—
TN
01
—
TN0108
AMERICHOICE
TN
Enumeration date
09/28/2006
Last updated
12/17/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us