Provider Demographics
NPI:1760238018
Name:KHUNKHUN, JASPREET KAUR
Entity Type:Individual
Prefix:MS
First Name:JASPREET
Middle Name:KAUR
Last Name:KHUNKHUN
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 1:1629 REDHAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-9283
Mailing Address - Country:US
Mailing Address - Phone:530-434-0187
Mailing Address - Fax:
Practice Address - Street 1:1629 REDHAVEN AVE
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-9283
Practice Address - Country:US
Practice Address - Phone:530-434-0187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-27
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant