Kenneth J Mekelburg (NPI# 1619975166, PAC ID# 2466488200) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1619975166 |
| PAC ID by PECOS | 2466488200 |
| Professional Enrollment ID | I20050713000010 |
| Full Name | Kenneth J Mekelburg |
| Address |
1800 Irving Place Shreveport LA 71101-4608 |
| Phone Number | 3184254096 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2400 Hospital Dr, Suite 130, Bossier City, LA 71111-2386 | 3182127990 | WK BOSSIER HOSPITALISTS |
| 2525 Viking Dr, Bossier City, LA 71111-2103 | 3188412525 | |
| 1800 Irving Place, Shreveport, LA 71101-4608 | 3184254096 |
| Street Address |
1800 IRVING PLACE |
| City | SHREVEPORT |
| State | LA |
| Zip | 71101-4608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn E. Mcneil | Psychiatry | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Jason M Broussard | Psychiatry | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Kirsti N Peavy | Physician Assistant | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Arien M Ward | Psychologist, Clinical | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Devanshi Jani | Psychiatry | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Albert M Aura | Internal Medicine | 1111 Line Ave, Shreveport, LA 71101-3841 | |
| Jeffrey T Overdyke | Psychiatry | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Caleb Blair Harkins | Nurse Practitioner | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Mark H Smith | General Surgery | Wk South Surgical Hospitalists | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Matthew C Raley | Internal Medicine | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Find all physicians in zip 71101 | |||
| City | SHREVEPORT |
| Zip Code | 71101 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SHREVEPORT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kenneth J Mekelburg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.