Doulens, Kevin Michael
Doulens, Kevin Michael is an individual health care provider with primary practice located at 2598 W White River Blvd , Muncie IN 47303-5251. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Doulens, Kevin Michael can be contacted via phone (765) 702-2817.Contact Information
Primary practice address
2598 W White River Blvd
Muncie IN 47303-5251
Phone: (765) 702-2817
Fax: (317) 222-2198
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME96452 | Florida |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 24068 | Mississippi |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD.207745 | Louisiana |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 01087328A | Indiana |
Profile Details
NPI number | 1447263694 |
---|---|
LBN Legal business name | Doulens, Kevin Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 15th, 2006 |
Last updated | Mar 11th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447263694 | NPPES |
Florida | MEDICAID | 2761041-00 | |
Florida | MEDICAID | 335618802A | |
Florida | MEDICAID | 2390562 | |
Florida | Other | P01087491 | |
Florida | MEDICAID | 00074040 |
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