Provider Demographics
NPI:1336489939
Name:KAUR, KIRANPREET (PT)
Entity Type:Individual
Prefix:
First Name:KIRANPREET
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 74008660
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-8660
Mailing Address - Country:US
Mailing Address - Phone:410-970-8180
Mailing Address - Fax:410-313-8220
Practice Address - Street 1:8717 GREENBELT RD STE 101
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2480
Practice Address - Country:US
Practice Address - Phone:301-552-8700
Practice Address - Fax:410-313-8220
Is Sole Proprietor?:No
Enumeration Date:2013-02-20
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24381225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist