Healthcare Provider Details

I. General information

NPI: 1194500165
Provider Name (Legal Business Name): AMANPREET KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2023
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 ROUTE 108
SOMERSWORTH NH
03878-1522
US

IV. Provider business mailing address

311 ROUTE 108
SOMERSWORTH NH
03878-1522
US

V. Phone/Fax

Practice location:
  • Phone: 603-749-2346
  • Fax:
Mailing address:
  • Phone: 603-749-2346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: