institution
Kenneth Mekelburg Md
Specialist in Bossier City, Louisiana
NPI 1245490945

Kenneth Mekelburg Md is a Specialist based in Shreveport, LA. Kenneth Mekelburg Md practices in Bossier City, LA. The NPI Number for Kenneth Mekelburg Md is 1245490945 and holds a License No. 13801R (Louisiana).

The current practice location address for Kenneth Mekelburg Md is 2525 Viking Drive, Bossier City, LA and can be reached out via phone at 318-425-4096 and via fax at 318-681-6812. You can also correspond with Kenneth Mekelburg Md through the mailing address at PO BOX 1684, SHREVEPORT, LA - 71165-1684 (mailing address contact number: 318-425-4096).

Location: 2525 Viking Drive, Bossier City, LA, 71165-1684
institution
Provider Profile Details
NPI Number
1245490945
Provider Name
Kenneth Mekelburg Md
Credential
Provider Entity Type
Organization
Address
2525 Viking Drive, Bossier City, LA, 71165-1684
Phone Number
318-425-4096
Fax Number
318-681-6812
Provider Enumeration Date
06/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1436836 05 LA
institution
Provider Business Practice Location Address Details
Address
2525 Viking Drive
City
State
Zip
71111-2103
Phone Number
318-425-4096
Fax Number
318-681-6812
person
Provider Business Mailing Address Details
Address
Po Box 1684
City
State
Zip
71165-1684
Phone Number
318-425-4096
Fax Number
318-681-6812
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
13801R (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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