Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Kelly Marie Douglas, M.D.

Emergency Medicine Physician in Jefferson City, MO · enumerated 2013.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366889909

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Registry record

Entity type Individual (Type 1)

Name Dr. Kelly Marie Douglas

Credential M.D.

Sex Female

Practice address 1125 Madison St, Jefferson City, MO, 65101

Phone (573) 632-5000

Enumeration date May 22, 2013

Last updated in NPPES Sep 14, 2022

Taxonomy & licenses

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 2014014696 (MO) Secondary

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License MD-44341 (IA) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License R-9673 (IA) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 2021016294 (MO) Secondary

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 2021016294 (MO) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Kelly Douglas practice?

The practice location on file with NPPES is in Jefferson City, MO. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Kelly Douglas?

The National Provider Identifier (NPI) for Kelly Douglas is 1366889909, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-09-14.