KELLY G BURKENSTOCK MD A PROFESSIONAL MEDICAL CORPORATION

MANDEVILLE, LA
NPI1639328578
Entity TypeOrganization
Authorized ContactKELLY G BURKENSTOCK
President
985-727-7676
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  MD.023319)
Enumeration Date2008-09-16
Last Update Date2022-07-19
Business Address
KELLY G BURKENSTOCK MD A PROFESSIONAL MEDICAL CORPORATION
2040 N CAUSEWAY BLVD
MANDEVILLE, LA 70471-3116
Phone number: 985-727-7676
Mailing Address
KELLY G BURKENSTOCK MD A PROFESSIONAL MEDICAL CORPORATION
2040 N CAUSEWAY BLVD
MANDEVILLE, LA 70471-3116
Phone number: 985-727-7676
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