Individual
SHARAT KOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1250 KEENE RD STE 102, NICHOLASVILLE, KY 40356-7600
(859) 276-4429
(859) 276-4429
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(859) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
03108
KY
207RC0000X
Cardiovascular Disease Physician
036-112052
IL
207RI0011X
Interventional Cardiology Physician
Primary
03108
KY
207RI0011X
Interventional Cardiology Physician
064127
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100167510
—
KY
Enumeration date
03/23/2008
Last updated
12/08/2022
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