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KENNETH MEKELBURG MD
NPI 1245490945
Specialist in Bossier City, LA

Active since June 16, 2008
2525 VIKING DRIVE, BOSSIER CITY, LA 71111(318) 425-4096(318) 681-6812 Get Directions Write a Review

NPPES record last updated: January 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Mekelburg Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH MEKELBURG MD (NPI 1245490945) is a healthcare organization registered as a specialist in Bossier City, Louisiana and active in the NPI registry since June 2008. The organization lists Kenneth John Mekelburg, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1245490945
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKENNETH MEKELBURG MD
Location Address2525 VIKING DRIVEBossier City, LA 71111-2103
Mailing AddressPo Box 1684Shreveport, LA 71165-1684 · (318) 425-4096 · Fax (318) 681-6812
Phone(318) 425-4096
Fax(318) 681-6812
Organization SubpartNo
Authorized OfficialKenneth John MekelburgMd/owner · (318) 425-4096
Enumeration DateJune 16, 2008
Last NPPES UpdateJanuary 10, 2012
✔ NPI 1245490945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in LA · 13801R
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.
2525 VIKING DRIVE, Bossier City, LA 71111
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Other Identifiers 3

Medicare PIN5H732LA
Medicaid1436836LA
Medicare UPINH25412LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH JOHN MEKELBURG M.D.
Internal Medicine
2525 VIKING DRIVE
BOSSIER CITY, LA 71111
Bossier Parish (318) 841-2525
THOMAS RODSUWAN M D PMC
Internal Medicine
2525 VIKING DRIVE
BOSSIER CITY, LA 71111
Bossier Parish (318) 841-2525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Mekelburg MD's NPI number?

The NPI number for Kenneth Mekelburg MD is 1245490945. It was assigned to this organization in the NPPES registry on June 16, 2008.

Where is Kenneth Mekelburg MD located?

Kenneth Mekelburg MD is located at 2525 Viking Drive, Bossier City, LA 71111. The listed phone number is (318) 425-4096.

What is Kenneth Mekelburg MD's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kenneth Mekelburg MD was last updated on January 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.