Dr KELLY G BURKENSTOCK MD is a female medical professional, specializing in Internal Medicine. She graduated in 1996 from Louisiana State University School Of Medicine In New Orleans.
2040 N CAUSEWAY BLVD
MANDEVILLE
LA
704713116
Tel:
| Npi | 1730183112 |
| Pac Id | 4587698733 |
| Professional Enrollment Id | I20050927000130 |
| Last Name | BURKENSTOCK |
| First Name | KELLY |
| Middle Name | G |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | FAMILY MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | FAMILY MEDICINE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 2040 N CAUSEWAY BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 704713116 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | |
| Hospital Affiliation Lbn 1 | |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.