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Individual

KAMALDEEP KAUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4120 N. 108TH AVE, STE 116, PHOENIX, AZ 85037
(632) 872-1818
(623) 872-1819
Mailing address
4120 N. 108TH AVE, STE 116, PHOENIX, AZ 85037
(632) 872-1818
(623) 872-1819

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
248601
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
248601
AZ

Other

Enumeration date
01/11/2021
Last updated
02/06/2025
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