| Doctor Name: | MR. KENT A MERKEY |
| NPI Number: | 1326376674 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LP |
| License Number: | LP5649 |
| Business Practice Address: | 16180 Hastings Ave Se Ste 205 Prior Lake, MN - 553729227 |
| Business Phone Number: | 9524434600 |
| Business Fax Number: | 9524434604 |
| Mailing Address: | 16180 Hastings Ave Se Ste 205, PRIOR LAKE |
| State: | MN |
| Postal Code: | 553729227 |
| Phone Number: | 9524434600 |
| Fax Number: | 9524434604 |
| NPI Enumeration Date: | 11/25/2009 |
| NPI Last Update Date: | 08/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | LP5649 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |