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

Kyle Justin Dubose, DO

Individual provider Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · NPI 1285093104

Kyle Justin Dubose, DO is an Undersea and Hyperbaric Medicine in Kenosha, Wisconsin. Graduated from West Virginia School of Osteopathic Medicine in 2013, 13 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
13
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
WI
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

10400 75th St
Kenosha, WI 53142-7884
Phone: (262) 942-5600
Fax: (262) 948-7388
Show map & directions

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

Specialties & licences

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083P0011X · Licence 67393 (WI)

Record details

NPI number1285093104
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 20, 2016
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023
Mailing address2901 W Kinnickinnic River Pkwy Ste 309, Milwaukee, WI 53215-3660

Medicare enrollment

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

Medicare specialtyUNDERSEA AND HYPERBARIC MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2013 (13 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount