Individual
KHUSHWANT KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4665 S STATE ROAD 5, SOUTH WHITLEY, IN 46787-9101
(260) 248-9980
(260) 248-9981
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01085481A
IN
Other
Enumeration date
06/12/2018
Last updated
10/17/2022
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