Kelvin L. Douglas in Jackson - Internal Medicine
Kelvin L. Douglas - NPI 1982643482
Kelvin L. Douglas is a Internal Medicine in Jackson, Tennessee. Kelvin L. Douglas practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kelvin L. Douglas is 1982643482. The last update date is 2007-07-09.
Kelvin L. Douglas's current location address is 2156-b N. Highland Ave, Jackson, Tennessee. You can contact this provider via phone number 7314992791 and fax number 7312855200. The mailing address for Kelvin L. Douglas is 2156-b N. Highland Ave, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelvin L. Douglas |
|---|---|
| Address | 2156-b N. Highland Ave, Jackson, Tennessee |
| Phone Number | 7314992791 |
| Fax Number | 7312855200 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1982643482 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2156-b N. Highland Ave |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 38305 |
| Phone Number | 7314992791 |
| Fax Number | 7312855200 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 26349 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17154 | TN | -- | |
| 4106545 | TN | -- | |
| 4106545 | TN | BCBST | |
| 3090776 | TN | -- | |
| 171276 | TN | -- | |
| 35464 | TN | -- |
Post Comment/ Review Below
What is the Kelvin L. Douglas's unique identification number?
The Kelvin L. Douglas has been assigned the NPI (National Provider Identifier) Number 1982643482 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kelvin L. Douglas located?
The Kelvin L. Douglas is located at 2156-B N. Highland Ave, Jackson, TN 38305.
What is Kelvin L. Douglas's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelvin L. Douglas's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982643482 to Kelvin L. Douglas?
The Centers for Medicare & Medicaid Services assigned the 1982643482 to Kelvin L. Douglas on 2006-06-06.
As of what date was the information regarding Kelvin L. Douglas, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelvin L. Douglas, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.