Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | SC007107 | PA |
NPI | 1023639572 |
---|---|
Provider Name | Kushkaran Kaur |
First Address | Colonia, NJ 07067-1017 |
Second Address | Philadelphia, PA 19140-5189 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2020 |
Last Update Date | 02/09/2020 |