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Kenneth Mekelburg MD

Specialist in Bossier City, LA · enumerated 2008 · authorized official Kenneth Mekelburg, MD/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245490945

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Registry record

Entity type Organization (Type 2)
Legal business name Kenneth Mekelburg MD
Practice address 2525 Viking Drive, Bossier City, LA, 71111
Phone (318) 425-4096
Fax (318) 681-6812
Enumeration date Jun 16, 2008
Last updated in NPPES Jan 10, 2012

Taxonomy & classification

174400000X Specialist Other Service Providers · License 13801R (LA) Primary

Authorized official

Name Kenneth Mekelburg
Title MD/Owner
Phone (318) 425-4096

Other identifiers

Identifier Type State Issuer
1436836 Medicaid LA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Kenneth Mekelburg MD?
NPPES lists Kenneth Mekelburg (MD/Owner) as the authorized official for this organization.
What is the NPI number for Kenneth Mekelburg MD?
The NPI for Kenneth Mekelburg MD is 1245490945, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-01-10.