Healthcare Provider Details

I. General information

NPI: 1043007594
Provider Name (Legal Business Name): JASPREET KAUR
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4911 LEGENDS DR
LAWRENCE KS
66049-5800
US

IV. Provider business mailing address

13137 S HAGAN ST
OLATHE KS
66062-6208
US

V. Phone/Fax

Practice location:
  • Phone: 785-831-3053
  • Fax:
Mailing address:
  • Phone: 913-787-4248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: