MEDICARE: DR. AUDREY H KANG M.D.

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	207VM0101X	Maternal & Fetal Medicine Physician	27149	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578575486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUDREY H KANG M.D.

Provider Business Mailing Address
First Line	:	201 21ST AVE N
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-5208
Country	:	US
Telephone Number	:	615-284-8636
Fax Number	:	615-284-8637

Provider Business Practice Location Address
First Line	:	201 21ST AVE N
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-5208
Country	:	US
Telephone Number	:	615-284-8636
Fax Number	:	615-284-8637

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

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	04/14/2026

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