Provider Demographics
NPI:1891186581
Name:KAUR, KANWALJEET (PHD)
Entity Type:Individual
Prefix:DR
First Name:KANWALJEET
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:KANWALGLORY
Other - Middle Name:
Other - Last Name:SING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 42998
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93384-2998
Mailing Address - Country:US
Mailing Address - Phone:661-376-6054
Mailing Address - Fax:661-735-5433
Practice Address - Street 1:3816 CINNAMON CT
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-6255
Practice Address - Country:US
Practice Address - Phone:661-376-6054
Practice Address - Fax:661-735-5433
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1500124278235500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE1164459OtherCALIFORNIA STATE