| Organization Name: | K & G ENTERPRISES |
| NPI Number: | 1700070281 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY GILYARD (PRESIDENT) |
| Mailing Address: | 1222 N Main Ave Suite 740 San Antonio |
| State: | TX US |
| Postal Code: | 782125712 |
| Phone Number: | 2102717411 |
| Fax Number: | |
| NPI Enumeration Date: | 08/28/2007 |
| NPI Last Update Date: | 08/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | MT040302 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |