Organization
ALEXANDER T. KALK, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER T. KALK MD (PROVIDER - OWNER)
(314) 567-6565
Entity
Organization
Contact information
Practice address
11605 STUDT AVE STE 112, SAINT LOUIS, MO 63141-7052
(314) 567-6565
(314) 567-6569
Mailing address
PO BOX 372045, SAINT LOUIS, MO 63137-7045
(314) 567-6565
(314) 567-6569
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
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
Enumeration date
04/04/2007
Last updated
11/27/2007
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