Provider Demographics
NPI:1942867221
Name:KAUR, SIMRIT (DPM)
Entity type:Individual
Prefix:
First Name:SIMRIT
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16030 BOTHELL EVERETT HWY STE 160
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-1794
Mailing Address - Country:US
Mailing Address - Phone:425-537-3777
Mailing Address - Fax:
Practice Address - Street 1:16030 BOTHELL EVERETT HWY STE 160
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-1794
Practice Address - Country:US
Practice Address - Phone:425-537-3777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT23-2019213E00000X
WAPO61282105213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist