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

Kyler Michael Douglas, DO

Individual provider Family Medicine Physician · NPI 1720607880

Kyler Michael Douglas, DO is a Family Practice in Saint Louis, Missouri. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2020, 6 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
6
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MO
In the registry since
2020
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

3009 N Ballas Rd Ste 383C
Saint Louis, MO 63131-2324
Phone: (314) 996-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 — (618) 233-5480

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2023005710 (MO)

Record details

NPI number1720607880
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 9, 2020
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2020 (6 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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