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

Kohl Douglas Gullett

Individual provider Emergency Medicine Physician · NPI 1063108413

Kohl Douglas Gullett is an Emergency Medicine in Wyoming, Michigan. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2023, 3 years ago. Works from 2 locations. Licensed in Iowa.

Years since qualifying
3
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
IA
In the registry since
2023
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Practice location Address checks out

5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone: (616) 252-7200
Fax: (616) 252-4953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1111 6th Ave, Des Moines, IA 50314-2613 — (515) 247-3121

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence DO-55709 (IA)

Record details

NPI number1063108413
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2023
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address3001 Nw 73rd Ln, Ankeny, IA 50023-9107

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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