National Provider Identifier Database

KELLY M DOUGLAS, MD – NPI #1366889909
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


Contact Information

KELLY M DOUGLAS, MD
1125 MADISON ST
JEFFERSON CITY, MO65101-5227
Phone: 573-632-5000
Fax:
Website:
Specialty Taxonomy Code
* Emergency Medicine 207P00000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for KELLY M DOUGLAS

NPI Number 1366889909
Credentials MD
Entity Individual
Enumeration date 05/22/2013
Last updated 09/14/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • IA License #: MD-44341
  • IA License #: R-9673
  • MO License #: 2014014696
  • MO License #: 2021016294
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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