Provider Demographics
NPI:1225006265
Name:MERKEL, KURT D (MD)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:D
Last Name:MERKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1011 BOWLES AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-2395
Mailing Address - Country:US
Mailing Address - Phone:636-680-5400
Mailing Address - Fax:636-680-5405
Practice Address - Street 1:1011 BOWLES AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-2395
Practice Address - Country:US
Practice Address - Phone:636-680-5400
Practice Address - Fax:636-680-5405
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR3F06207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO203561519Medicaid
MO203561519Medicaid
MO000006950Medicare PIN