Provider Demographics
NPI:1053528018
Name:KENNER, WILLIAM DAVIS (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DAVIS
Last Name:KENNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:113 30TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1325
Mailing Address - Country:US
Mailing Address - Phone:615-292-8555
Mailing Address - Fax:615-292-4716
Practice Address - Street 1:113 30TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1325
Practice Address - Country:US
Practice Address - Phone:615-292-8555
Practice Address - Fax:615-292-4716
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0067212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry