Kenneth Mekelburg, M.D

NPI 1619975166 · on the registry since 2005

Practice

Address: 2525 Viking Drive
Bossier City, LA 71111
Phone: (318) 841-2525
Fax: (318) 681-6812
Organisation at this address: Taaj, Llc
Medivue Llc
St Arogya Llc
Dr Henry Kiser Llc
Michael Angelo Apmc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-03-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana