Individual
KEVIN MICHAEL DOULENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
851042 US HIGHWAY 17 STE A, YULEE, FL 32097-2845
(904) 202-6683
(904) 376-3062
Mailing address
PO BOX 746647, ATLANTA, GA 30374-6647
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME96452
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
01087328A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
24068
MS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD.207745
LA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME96452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00074040
—
MS
05
—
2390562
—
LA
05
—
2761041-00
—
FL
05
—
335618802A
—
GA
01
—
P01087491
MEDICARE RAILROAD
FL
Enumeration date
08/15/2006
Last updated
12/26/2025
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