Search › Louisiana › Medical Physician Assistant
Blaze Burkenstock, PA
NPI 1386448728 · on the registry since 2025
Practice
- Address
- 2040 N Causeway Blvd
Mandeville, LA 70471 - Phone
- (985) 727-7676
- Organisation at this address
- Kelly G Burkenstock Md A Professional Medical Corporation
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 6600 Fleur De Lis Dr, New Orleans, LA
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana