Individual
GURPREET KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8020 LIBERTY WAY, WEST CHESTER, OH 45069-2519
(513) 777-8300
(513) 777-0431
Mailing address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT016262
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT016262
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2565399
—
OH
Enumeration date
06/30/2015
Last updated
09/08/2020
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