MEDICARE: KIRANJIT KAUR KANG

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	103TS0200X	School Psychologist	230161521	CA

General Provider Information

NPI Number	:	1902760788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRANJIT KAUR KANG

Provider Business Mailing Address
First Line	:	3119 MONROE RD
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-8867
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 ZANES DR
Second Line	:
City	:	PLUMAS LAKE
State	:	CA
Zip	:	95961-9090
Country	:	US
Telephone Number	:	530-749-0690
Fax Number	:

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

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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