Individual provider · Type 1 NPI

Kelly Marie Douglas, MD

Emergency Medicine Physician · Jefferson City, MO

NPI number 1366889909 Active

Practice location

1125 Madison St
Jefferson City, MO 65101-5227

Call (573) 632-5000 Map

Mailing address

PO Box 843966
Kansas City, MO 64184-3966

Other practice locations

  • 1515 Union Ave, Moberly, MO 65270-9407 · (660) 263-8400
  • 1 Hospital Dr, Columbia, MO 65212-0001 · (573) 882-8091

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X2014014696 (MO)
Emergency Medicine Physician 207P00000XMD-44341 (IA)
Internal Medicine Physician 207R00000XR-9673 (IA)
Internal Medicine Physician 207R00000X2021016294 (MO)
Emergency Medicine Physician Primary 207P00000X2021016294 (MO)

Emergency Medicine Physician: 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 respo…

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About NPI 1366889909

Kelly Marie Douglas, MD's National Provider Identifier is 1366889909, issued on May 22, 2013. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Jefferson City, MO. The record was last updated on Sep 14, 2022.