Provider Demographics
NPI:1164531869
Name:FRENCHMAN, KUSH (MD)
Entity Type:Individual
Prefix:
First Name:KUSH
Middle Name:
Last Name:FRENCHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 IMPERIAL BLVD
Mailing Address - Street 2:STE 15
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075
Mailing Address - Country:US
Mailing Address - Phone:615-824-1240
Mailing Address - Fax:615-824-1258
Practice Address - Street 1:107 IMPERIAL BLVD
Practice Address - Street 2:STE 15
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075
Practice Address - Country:US
Practice Address - Phone:615-824-1240
Practice Address - Fax:615-824-1258
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000011620208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNTN2009251OtherBCBS
TNTN2009251OtherBCBS
TN3168248Medicare ID - Type Unspecified