Search › Missouri › 207P00000X
Kelly Douglas, M.D
NPI 1366889909 · on the registry since 2013
Practice
- Address
- 1125 Madison St
Jefferson City, MO 65101 - Phone
- (573) 632-5000
- Organisation at this address
- Mission Emergency
Lhcg Cxxxxiii, Llc
Capital Care Pharmacy
Capital Region Medical Center
Capital Region Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 181
Additional practice sites
- 1515 Union Ave, Moberly, MO
- 1 Hospital Dr, Columbia, MO
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
207P00000X
207R00000X
207R00000X - Licence states on file
- MO, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-14
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 Missouri