GLK Enterprises, LLC

Organization Active NPI Family Nurse Practitioner · Brownsville, KY

NPI 1386196350 · NPPES record last updated Oct 26, 2016

Key facts

NPI
1386196350
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
Legal business name
GLK ENTERPRISES, LLC
Practice address
104 Mohawk St
Brownsville, KY 42210-9006
Phone
(270) 597-2155
Fax
(270) 597-3811
NPI assigned
Oct 26, 2016
Organization subpart
No

Authorized official

Name
Sanjay Kaul, MD
Title
Owner/ Physician
Phone
27059732155

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
GLK Enterprises (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X Yes

Addresses

Primary practice location

104 Mohawk St
Brownsville, KY 42210-9006

Mailing address

104 Mohawk St
Brownsville, KY 42210-9006
Phone (270) 597-2155

Other providers in Brownsville, KY

All providers in Brownsville, KY · Family Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.