Organization
GK MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN MALONE COF (OWNER)
(502) 899-9177
Entity
Organization
Contact information
Practice address
4850 BROWNSBORO CTR, LOUISVILLE, KY 40207-2381
(502) 899-9177
(502) 899-9178
Mailing address
4850 BROWNSBORO CTR, LOUISVILLE, KY 40207-2381
(502) 899-9177
(502) 899-9178
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
CFO00523
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200414920
—
IN
05
—
90006156
—
KY
Enumeration date
11/01/2007
Last updated
05/08/2013
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