Provider Demographics
NPI:1659549756
Name:MECHLER, KURT CHARLES (DC)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:CHARLES
Last Name:MECHLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8190 BEECHMONT AVE
Mailing Address - Street 2:#366
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-6117
Mailing Address - Country:US
Mailing Address - Phone:513-752-6900
Mailing Address - Fax:513-753-2945
Practice Address - Street 1:809 EASTGATE SOUTH DR
Practice Address - Street 2:A
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1564
Practice Address - Country:US
Practice Address - Phone:513-752-6900
Practice Address - Fax:513-753-2945
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2008-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC 1261111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor