Kenneth John Mekelburg, M.D.

NPI #1619975166 in Bossier City, Louisiana

Provider Information

NPI Number: 1619975166
Entity Type: Individual
Name: Kenneth John Mekelburg, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 8, 2005
Last Updated: Mar 29, 2012

Practice Location

Address: 2525 VIKING DRIVE
City: Bossier City
State: Louisiana
ZIP Code: 71111-2103
Phone: (318) 841-2525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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