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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY G BURKENSTOCK MD A PROFESSIONAL MEDICAL CORPORATION

Active Organization

KELLY G BURKENSTOCK MD A PROFESSIONAL MEDICAL CORPORATION is a Internal Medicine organization located in MANDEVILLE, Louisiana. NPI 1639328578 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · MANDEVILLE, LA

Registration Details

NPI Number
1639328578
Provider Type
Organization
NPI Issued
Sep 16, 2008 (17.939966805761 yrs)
Last Updated
Jul 19, 2022
License
MD.023319 (LA)

Practice Information

Address
2040 N CAUSEWAY BLVD
MANDEVILLE, LA, 704713116
Browse LA providers · Browse ZIP 70471
Phone
9857277676
Fax
9857273476
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Organizations in MANDEVILLE, LA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.