Provider Demographics
NPI:1699847954
Name:CONGER, KANA K (PT)
Entity Type:Individual
Prefix:
First Name:KANA
Middle Name:K
Last Name:CONGER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3310 ASPEN GROVE DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2836
Mailing Address - Country:US
Mailing Address - Phone:615-224-9810
Mailing Address - Fax:
Practice Address - Street 1:3310 ASPEN GROVE DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2836
Practice Address - Country:US
Practice Address - Phone:615-224-9810
Practice Address - Fax:615-224-9844
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1320225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4133822OtherBLUE CROSS BLUE SHIELD