Organization
GLK ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY KAUL MD (MD/PRESIDENT)
(270) 597-2155
Entity
Organization
Contact information
Practice address
104 MOHAWK STREET, BROWNSVILLE, KY 42210
(270) 597-2155
(270) 597-3811
Mailing address
104 MOHAWK STREET, BROWNSVILLE, KY 42210
(270) 597-2155
(270) 597-3811
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
36833
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64030224
—
KY
Enumeration date
07/30/2006
Last updated
08/22/2020
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