Provider Demographics
NPI:1114609930
Name:KAUR, RIPON DEEP DEEP
Entity Type:Individual
Prefix:
First Name:RIPON DEEP
Middle Name:DEEP
Last Name:KAUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7216 CONDUIT ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-4571
Mailing Address - Country:US
Mailing Address - Phone:661-304-2488
Mailing Address - Fax:
Practice Address - Street 1:2901 SILLECT AVE STE 201
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-6373
Practice Address - Country:US
Practice Address - Phone:661-327-2101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95125442363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care