Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kelly Marie Douglas, MD

Individual provider Emergency Medicine Physician · NPI 1366889909

Dr. Kelly Marie Douglas, MD is an Emergency Medicine in Jefferson City, Missouri. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2013, 13 years ago. Practices with The Curators of the University of Missouri, a 1,093-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Iowa and Missouri.

Years since qualifying
13
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
IA, MO
In the registry since
2013
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1125 Madison St
Jefferson City, MO 65101-5227
Phone: (573) 632-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2021016294 (MO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2014014696 (MO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD-44341 (IA)
Internal Medicine Physician Taxonomy 207R00000X · Licence R-9673 (IA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2021016294 (MO)

Record details

NPI number1366889909
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2013
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice The Curators Of The University Of Missouri — 1093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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