1. Home
  2. Directory
  3. Tennessee
  4. Elizabethton
  5. Internal Medicine
  6. NPI Profile

DAVID KENNETH FENNER MD
NPI 1124119458
Internal Medicine in Elizabethton, TN

Active since September 28, 2006
1505 W ELK AVE, SUITE 2, ELIZABETHTON, TN 37643(423) 543-1261(423) 543-7500 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Kenneth Fenner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID KENNETH FENNER MD (NPI 1124119458) is an individual internal medicine provider in Elizabethton, Tennessee, licensed in Tennessee (8020) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1124119458
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAVID KENNETH FENNERCredential: MD
Location Address1505 W ELK AVE, SUITE 2Elizabethton, TN 37643-2848
Mailing Address1505 W Elk Ave, Suite 2Elizabethton, TN 37643-2848 · (423) 543-1261 · Fax (423) 543-7500
Phone(423) 543-1261
Fax(423) 543-7500
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateDecember 17, 2014
✔ NPI 1124119458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 8020
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedMedical Genetics, Ph.D. Medical GeneticsTaxonomy 170100000X · License MD0000008020 (TN)
1505 W ELK AVE, Elizabethton, TN 37643
Open in Google Maps ↗

Other Identifiers 10

Other110147422TN · Railroad Medicare
MedicaidQ002461TN
OtherTN0108TN · Americhoice
Medicare PIN10311I7611TN
Other202731TN · Bluecross Blueshield
Other202731TN · Bluecare
Medicare UPINB03687TN
OtherP01302537TN · Rr Medicare
Medicare ID-Type Unspecified3175303TN
Medicare PIN3175303TN

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JERRY L GASTINEAU
Family Medicine
1505 W ELK AVE, SUITE 2
ELIZABETHTON, TN 37643
Carter County (423) 543-1261
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Family Medicine
1505 W ELK AVE, SUITE 2
ELIZABETHTON, TN 37643
Carter County (423) 543-1261
MS. REBECCA P WILKINS F.N.P.
Nurse Practitioner (Women's Health)
1505 W ELK AVE
ELIZABETHTON, TN 37643
Carter County (423) 543-7919
FIRST MEDICAL GROUP INC.
Health Maintenance Organization
1505 W ELK AVE, STE 2
ELIZABETHTON, TN 37643
Carter County (423) 543-1261
DR. JOHN DAVID GREEN M.D.
Obstetrics & Gynecology
1505 W ELK AVE, SUITE 1
ELIZABETHTON, TN 37643
Carter County (423) 543-7919
CHRISTOPHER MANOLI CHRISOHON PA-C
Physician Assistant
1505 W ELK AVE, SUITE 2
ELIZABETHTON, TN 37643
Carter County (423) 543-1261
FIRST MEDICAL GROUP INC
Obstetrics & Gynecology (Obstetrics)
1505 W ELK AVE, SUITE 1
ELIZABETHTON, TN 37643
Carter County (423) 543-7919
DR. BRENT DAVID LAING M.D.
Obstetrics & Gynecology
1505 W ELK AVE, SUITE 1
ELIZABETHTON, TN 37643
Carter County (423) 543-7919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Fenner's NPI number?

The NPI number for David Fenner is 1124119458. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is David Fenner located?

David Fenner practices at 1505 W Elk Ave Suite 2, Elizabethton, TN 37643. The listed phone number is (423) 543-1261.

What is David Fenner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for David Fenner was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.