Healthcare Provider Details

I. General information

NPI: 1609647346
Provider Name (Legal Business Name): KAMALPREET BHULLAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAMALPREET KAUR

II. Dates (important events)

Enumeration Date: 01/11/2024
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 OLIVE DR
BAKERSFIELD CA
93308-4144
US

IV. Provider business mailing address

901 OLIVE DR
BAKERSFIELD CA
93308-4144
US

V. Phone/Fax

Practice location:
  • Phone: 661-215-7500
  • Fax:
Mailing address:
  • Phone: 661-215-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95039679
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95275568
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: