Healthcare Provider Details

I. General information

NPI: 1336242221
Provider Name (Legal Business Name): KULDEEP KAUR SINGH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 LAMAR AVE STE 130
MISSION KS
66202-3234
US

IV. Provider business mailing address

6000 LAMAR AVE STE 130
MISSION KS
66202-3234
US

V. Phone/Fax

Practice location:
  • Phone: 913-831-2550
  • Fax: 913-826-1589
Mailing address:
  • Phone: 913-831-2550
  • Fax: 913-826-1589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number04-19004
License Number StateKS

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier260023555
Identifier TypeOTHER
Identifier State
Identifier IssuerRR MEDICARE
# 2
Identifier09683031
Identifier TypeOTHER
Identifier State
Identifier IssuerBCBS OF KC
# 3
Identifier100098010
Identifier TypeMEDICAID
Identifier StateKS
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: