Healthcare Provider Details

I. General information

NPI: 1376884809
Provider Name (Legal Business Name): KULWINDER KAUR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2013
Last Update Date: 12/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2416 W SHAW AVE SUITE 106
FRESNO CA
93711-3303
US

IV. Provider business mailing address

3812 N 1ST ST
FRESNO CA
93726-4301
US

V. Phone/Fax

Practice location:
  • Phone: 559-495-3120
  • Fax:
Mailing address:
  • Phone: 559-495-3120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number693712
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: