Individual
DR. DOUGLAS MARTIN KELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8919 PARALLEL PKWY, STE 121, KANSAS CITY, KS 66112
(913) 596-7230
(913) 596-7228
Mailing address
8919 PARALLEL PKWY STE 121, KANSAS CITY, KS 66112-1655
(913) 596-7230
(913) 596-7228
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
0527996
KS
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
R1H68
MO
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
0527996
KS
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
R1H68
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100167660C
—
KS
05
—
1679503098
—
MO
01
—
P00812188
RAIL ROAD
KS
01
—
P01393087
RAIL ROAD
MO
Enumeration date
07/03/2006
Last updated
12/03/2021
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