Healthcare Provider Details

I. General information

NPI: 1437655081
Provider Name (Legal Business Name): GREGORY KANE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 ALBION ST
NASHVILLE TN
37208-2918
US

IV. Provider business mailing address

1818 ALBION ST
NASHVILLE TN
37208-2918
US

V. Phone/Fax

Practice location:
  • Phone: 615-341-4000
  • Fax: 615-860-9069
Mailing address:
  • Phone: 615-860-7411
  • Fax: 615-860-9069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number5365
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: