Provider Demographics
NPI:1902796816
Name:KAHLON, GANIV KAUR (PMHNP)
Entity type:Individual
Prefix:
First Name:GANIV
Middle Name:KAUR
Last Name:KAHLON
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1190 VAN WYCK RD
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-7908
Mailing Address - Country:US
Mailing Address - Phone:360-223-4989
Mailing Address - Fax:
Practice Address - Street 1:1190 VAN WYCK RD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-7908
Practice Address - Country:US
Practice Address - Phone:360-223-4989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95035690363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health