Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenneth John Mekelburg, MD

Individual provider Internal Medicine Physician · NPI 1619975166

Kenneth John Mekelburg, MD is an Internal Medicine in Bossier City, Louisiana. Qualified in 1997, 29 years ago. Practices with Wk Bossier Hospitalists, a 25-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
29
Licensed in
LA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2525 Viking Dr
Bossier City, LA 71111-2103
Phone: (318) 841-2525
Fax: (318) 681-6812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 13801R (LA)

Record details

NPI number1619975166
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2005
Last updated in NPPESMarch 29, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Wk Bossier Hospitalists — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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