Individual
DR. KALE JO MERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1410 NORTH AVE STE 1, SPEARFISH, SD 57783-1574
(605) 722-3668
(605) 722-3669
Mailing address
1410 NORTH AVE STE 1, SPEARFISH, SD 57783-1574
(605) 722-3668
(605) 722-3669
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
253
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018805401
—
TX
01
—
1255401196
COMPL.ETE FAMILY FOOT CARE
TX
05
—
429384701
—
TX
Enumeration date
04/26/2018
Last updated
07/26/2023
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