MEDICARE: JASPREET KAUR KALER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	TRN26709	FL
2	207RR0500X	Rheumatology Physician	MD61005473	WA

General Provider Information

NPI Number	:	1558745083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASPREET KAUR KALER M.D.

Provider Business Mailing Address
First Line	:	550 GAGE BLVD STE 101
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-9532
Country	:	US
Telephone Number	:	509-942-3627
Fax Number	:	509-627-2983

Provider Business Practice Location Address
First Line	:	6710 W OKANOGAN PL
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99336-8001
Country	:	US
Telephone Number	:	509-942-2528
Fax Number	:	509-783-2008

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2015
Last Update Date	:	06/15/2021

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