Provider Demographics
NPI:1598194763
Name:VIRDEE, KULVEEN (ND)
Entity Type:Individual
Prefix:DR
First Name:KULVEEN
Middle Name:
Last Name:VIRDEE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8808 ROUNDHOUSE CIR APT 2212
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-7901
Mailing Address - Country:US
Mailing Address - Phone:301-906-9490
Mailing Address - Fax:844-380-3486
Practice Address - Street 1:770 PORT ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601
Practice Address - Country:US
Practice Address - Phone:240-389-4588
Practice Address - Fax:844-380-3486
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5.000535175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath