Kelly G Burkenstock MD A Professional Medical Corporation
NPI 1639328578ActiveOrganization· Internal Medicine· Mandeville, LA
Internal Medicine in Mandeville, Louisiana, registered in NPPES in September 2008. The authorized official on file is Kelly G. Burkenstock, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639328578 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2008 |
| Last updated in NPPES | Jul 19, 2022 |
| Certified by provider | May 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MD.023319 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
Other Internal Medicine providers in Mandeville
- 1265845069
- 1679769632
- 1780037143
- 1790082204
- 1598663692
- 1629594544
- 1861380461
- 1861186314
- 1255435889
- 1447305768
- 1710905856
- 1558788752