Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | OL60869606 | WA |
Y | 111NI0900X | Internist | OL60869606 | WA |
NPI | 1003348632 |
---|---|
Provider Name | Amreen Kaur |
First Address | Newcastle, WA 98059-9243 |
Second Address | Mount Vernon, WA 98274-4126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2017 |
Last Update Date | 07/05/2021 |