Organization · Type 2 NPI
Kenneth Mekelburg MD
Specialist · Bossier City, LA
NPI number
1245490945
Active
Practice location
2525 Viking Drive
Bossier City, LA 71111-2103
Fax (318) 681-6812
Mailing address
PO Box 1684
Shreveport, LA 71165-1684
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 13801R (LA) |
Specialist: 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.
2 other providers at this address
Other specialist providers in Bossier City
About NPI 1245490945
Kenneth Mekelburg MD's National Provider Identifier is 1245490945, issued on Jun 16, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bossier City, LA. The record was last updated on Jan 10, 2012.