Provider Demographics
NPI:1558138040
Name:KAUR, AMRITPAL (LVN)
Entity Type:Individual
Prefix:
First Name:AMRITPAL
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10801 SERIANA DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-8911
Mailing Address - Country:US
Mailing Address - Phone:661-447-6680
Mailing Address - Fax:
Practice Address - Street 1:10801 SERIANA DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-8911
Practice Address - Country:US
Practice Address - Phone:661-447-6680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA727322164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse