Provider Demographics
NPI:1326830761
Name:MOKHA, MANPREET KAUR (PMHNP)
Entity type:Individual
Prefix:
First Name:MANPREET
Middle Name:KAUR
Last Name:MOKHA
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 1:16246 W 156TH TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-3864
Mailing Address - Country:US
Mailing Address - Phone:913-406-2630
Mailing Address - Fax:
Practice Address - Street 1:16246 W 156TH TER
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-3864
Practice Address - Country:US
Practice Address - Phone:913-406-2630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-84355-082363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health