Individual
DR. JOHN MICHAEL MCKELVEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7223 MISSISSIPPI AVE, FORT POLK, LA 71459
(726) 780-1451
Mailing address
150 DOUGLAS MEMORIAL RD, LEESVILLE, LA 71446-5404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401417118
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
4883
AR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7739
LA
Other
Enumeration date
08/16/2020
Last updated
10/31/2025
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