# ALEXANDER T. KALK, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235251018
- **Authorized official:** DR. ALEXANDER T. KALK MD (PROVIDER - OWNER)
- **Authorized official phone:** (314) 567-6565

## Contact information

- **Practice address:** 11605 STUDT AVE STE 112, SAINT LOUIS, MO 63141-7052
- **Practice address phone:** (314) 567-6565
- **Practice address fax:** (314) 567-6569
- **Mailing address:** PO BOX 372045, SAINT LOUIS, MO 63137-7045
- **Mailing address phone:** (314) 567-6565
- **Mailing address fax:** (314) 567-6569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 11/27/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0106708 | UHC | MO |
| 01 | — | 193813 | BLUE CROSS BLUE SHIELD | MO |
| 01 | — | 225770 | GROUP HEALTH PLAN | MO |
| 01 | — | 671155 | HEALTHLINK | MO |
| 01 | — | H75353 | MERCY | MO |