Basic Information
| Provider Information | |||||||||
| NPI: | 1033642962 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | KAUR | ||||||||
| FirstName: | KIMPREET | ||||||||
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| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | SAMMC MCHE-ZDS ANESTHESIA RES. 3551 ROGER BROOKE DR | ||||||||
| Address2: | |||||||||
| City: | JBSA FT SAM HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782344504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2109168666 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2200 BERGQUIST DR | ||||||||
| Address2: | STE 1 | ||||||||
| City: | JBSA LACKLAND AFB | ||||||||
| State: | TX | ||||||||
| PostalCode: | 783249907 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2109168666 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/07/2017 | ||||||||
| LastUpdateDate: | 02/25/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | 1931 | NE | N | Allopathic & Osteopathic Physicians | General Practice | 207L00000X | 1931 | NE | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.