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

Kyle Wayne Doughty, DO

Individual provider Emergency Medicine Physician · NPI 1932636529

Kyle Wayne Doughty, DO is an Emergency Medicine in Jackson, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2017, 9 years ago. Practices with Ecs Western Michigan PC, a 201-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2017
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.

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Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-3064
Fax: (517) 205-7050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5151010149 (MI)

Record details

NPI number1932636529
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 15, 2017
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022
Mailing address205 N East Ave, Jackson, MI 49201-1753

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Ecs Western Michigan Pc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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