KELLY G BURKENSTOCK MD A PROFESSIONAL MEDICAL CORPORATION
NPI 1639328578
Internal Medicine in Mandeville, LA

Active since September 16, 2008
2040 N CAUSEWAY BLVD, MANDEVILLE, LA 70471(985) 727-7676(985) 727-3476 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kelly G Burkenstock Md A Professional Medical Corporation NPPES

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

KELLY G BURKENSTOCK MD A PROFESSIONAL MEDICAL CORPORATION (NPI 1639328578) is a healthcare organization registered as an internal medicine in Mandeville, Louisiana and active in the NPI registry since September 2008. The organization lists Kelly G Burkenstock, President, as its authorized official.

NPPES Registry Identity

NPI1639328578
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKELLY G BURKENSTOCK MD A PROFESSIONAL MEDICAL CORPORATION
Location Address2040 N CAUSEWAY BLVDMandeville, LA 70471-3116
Mailing Address2040 N Causeway BlvdMandeville, LA 70471-3116 · (985) 727-7676 · Fax (985) 727-3476
Fax(985) 727-3476
Organization SubpartNo
Authorized OfficialKelly G BurkenstockPresident · (985) 727-7676
Enumeration DateSeptember 16, 2008
Last NPPES UpdateJuly 19, 2022
NPPES CertifiedMay 26, 2021
NPI 1639328578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in LA · MD.023319
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2040 N CAUSEWAY BLVD, Mandeville, LA 70471

Other Identifiers 1

Medicaid1496278LA

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
2040 N CAUSEWAY BLVD
MANDEVILLE, LA 70471

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 Kelly G Burkenstock MD A Professional Medical Corporation's NPI number?

The NPI number for Kelly G Burkenstock MD A Professional Medical Corporation is 1639328578. It was assigned to this organization in the NPPES registry on September 16, 2008.

Where is Kelly G Burkenstock MD A Professional Medical Corporation located?

Kelly G Burkenstock MD A Professional Medical Corporation is located at 2040 N Causeway Blvd, Mandeville, LA 70471. The listed phone number is (985) 727-7676.

What is Kelly G Burkenstock MD A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Kelly G Burkenstock MD A Professional Medical Corporation accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Kelly G Burkenstock MD A Professional Medical Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly G Burkenstock MD A Professional Medical Corporation was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.