Provider Demographics
NPI:1821332644
Name:G&K GREG INC
Entity Type:Organization
Organization Name:G&K GREG INC
Other - Org Name:NIXON HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-278-7212
Mailing Address - Street 1:121 MALABU DR
Mailing Address - Street 2:STE 3
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3143
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:121 MALABU DR
Practice Address - Street 2:STE 3
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3143
Practice Address - Country:US
Practice Address - Phone:859-278-7212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty