Individual
KULDEEP KC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1698 E MCANDREWS RD STE 300, MEDFORD, OR 97504-5590
(541) 732-7850
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10008326
OR
Other
Enumeration date
07/18/2013
Last updated
06/05/2023
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