| Alexander T. Kalk, Md, Llc | |
|
11605 Studt Ave Ste 112 Saint Louis MO 63141-7052 | |
| (314) 567-6565 | |
| (314) 567-6569 |
| Full Name | Alexander T. Kalk, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 11605 Studt Ave Ste 112, Saint Louis, Missouri |
| Authorized Official Name and Position | Alexander T. Kalk (PROVIDER - OWNER) |
| Authorized Official Contact | 3145676565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander T. Kalk, Md, Llc Po Box 372045 Saint Louis MO 63137-7045 Ph: (314) 567-6565 | Alexander T. Kalk, Md, Llc 11605 Studt Ave Ste 112 Saint Louis MO 63141-7052 Ph: (314) 567-6565 |
| NPI Number | 1235251018 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 11/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235251018 | NPI | - | NPPES |
| 193813 | Other | MO | BLUE CROSS BLUE SHIELD |
| H75353 | Other | MO | MERCY |
| 0106708 | Other | MO | UHC |
| 671155 | Other | MO | HEALTHLINK |
| 225770 | Other | MO | GROUP HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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