Provider Demographics
NPI:1598449845
Name:SALL, KIRANPREET KAUR
Entity Type:Individual
Prefix:
First Name:KIRANPREET
Middle Name:KAUR
Last Name:SALL
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 1:285 PELICAN PL
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-7166
Mailing Address - Country:US
Mailing Address - Phone:530-844-3455
Mailing Address - Fax:530-844-0612
Practice Address - Street 1:285 PELICAN PL
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-7166
Practice Address - Country:US
Practice Address - Phone:530-844-3455
Practice Address - Fax:530-844-0612
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program