Healthcare Provider Details

I. General information

NPI: 1902851181
Provider Name (Legal Business Name): DAVID D. KELNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 WAYNE COTTON MORGAN DR
WARTBURG TN
37887-3249
US

IV. Provider business mailing address

898 BOWMAN BEND RD
HARRIMAN TN
37748-8522
US

V. Phone/Fax

Practice location:
  • Phone: 931-319-4154
  • Fax:
Mailing address:
  • Phone: 865-203-1551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036106847
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number62703
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: