MEDICARE: DR. CHRISTOPHER HOWARD FENZEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	01092044A	IN
2	207P00000X	Emergency Medicine Physician	W2416	TX
3	207P00000X	Emergency Medicine Physician	TP447	KY
4	207P00000X	Emergency Medicine Physician	76289	TN
5	207P00000X	Emergency Medicine Physician	81361	MN
6	207P00000X	Emergency Medicine Physician	036.177917	IL
7	207P00000X	Emergency Medicine Physician	35C.003548	OH
8	207P00000X	Emergency Medicine Physician	MD493029C	PA
9	207P00000X	Emergency Medicine Physician	52633	AL

General Provider Information

NPI Number	:	1316332448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER HOWARD FENZEL MD

Provider Business Mailing Address
First Line	:	2123 SPEED AVE
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-1332
Country	:	US
Telephone Number	:	502-314-2767
Fax Number	:

Provider Business Practice Location Address
First Line	:	7702 BARDSTOWN RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-3207
Country	:	US
Telephone Number	:	502-928-4700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2015
Last Update Date	:	12/16/2025

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