OrganizationActive
Kenneth Mekelburg MD
NPI 1245490945 · Specialist · Bossier City, LA
Kenneth Mekelburg MD is a Specialist organization in Bossier City, LA (NPI 1245490945).
Provider details
- NPI number
- 1245490945
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kenneth Mekelburg, Md/Owner(318) 425-4096
- License
- 13801R (LA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2525 Viking Drive
Bossier City, LA 71111-2103
Phone: (318) 425-4096
Fax: (318) 681-6812
Street-level locationGet directions
Mailing address
Po Box 1684
Shreveport, LA 71165-1684
Registry dates
- Enumerated
- 2008-06-16
- Last updated
- 2012-01-10
Frequently asked questions
- What is Kenneth Mekelburg MD's NPI number?
- Kenneth Mekelburg MD's National Provider Identifier (NPI) is 1245490945, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenneth Mekelburg MD?
- Kenneth Mekelburg MD is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Kenneth Mekelburg MD located?
- Kenneth Mekelburg MD's practice location on file with NPPES is 2525 Viking Drive, Bossier City, LA 71111-2103.
- What is Kenneth Mekelburg MD's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Mekelburg MD is (318) 425-4096.
- Who is the authorized official for Kenneth Mekelburg MD?
- The authorized official listed on Kenneth Mekelburg MD's NPPES record is Kenneth Mekelburg, Md/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenneth Mekelburg MD's NPI active?
- Yes — Kenneth Mekelburg MD's NPI (1245490945) is active in the NPPES registry as of the last update on 2012-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.