KENNETH MEKELBURG MD

BOSSIER CITY, LA
NPI1245490945
Entity TypeOrganization
Authorized ContactKENNETH JOHN MEKELBURG
Md/Owner
318-425-4096
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: LA  13801R)
Enumeration Date2008-06-16
Last Update Date2012-01-10
Business Address
KENNETH MEKELBURG MD
2525 VIKING DRIVE
BOSSIER CITY, LA 71111-2103
Phone number: 318-425-4096
Mailing Address
KENNETH MEKELBURG MD
PO BOX 1684
SHREVEPORT, LA 71165-1684
Phone number: 318-425-4096
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