MEDICARE: KEVIN MICHAEL DOULENS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	01087328A	IN
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	ME96452	FL
3	207X00000X	Orthopaedic Surgery Physician	ME96452	FL
4	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	24068	MS
5	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	MD.207745	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01087491	OTHER	FL	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447263694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN MICHAEL DOULENS MD

Provider Business Mailing Address
First Line	:	PO BOX 746647
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6647
Country	:	US
Telephone Number	:	904-202-2092
Fax Number	:	904-376-4075

Provider Business Practice Location Address
First Line	:	851042 US HIGHWAY 17 STE A
Second Line	:
City	:	YULEE
State	:	FL
Zip	:	32097-2845
Country	:	US
Telephone Number	:	904-202-6683
Fax Number	:	904-376-3062

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	12/26/2025

Similar Medicare Providers

1194701391 — JOHN R PINKSTON MD
Practice Location Address:

851042 US HIGHWAY 17
YULEE, FL
32097-2845

Practice Phone: 904-225-3824
Practice Fax: 904-390-7440

1649250606 — DR. ERICA KITCHELL WIEDL MD
Practice Location Address:

851042 US HIGHWAY 17
YULEE, FL
32097-2845

Practice Phone: 904-225-3824
Practice Fax: 904-390-7440

1518936699 — DR. JAMES WILLIAM PRICE M.D.
Practice Location Address:

851042 US HIGHWAY 17 , UFJP YULEE FAMILY PRACTICE CENTER
YULEE, FL
32097-2845

Practice Phone: 904-633-0670
Practice Fax: 904-633-0671

1235190646 — DR. OBAIDULLAH AHMED MD
Practice Location Address:

851042 US HIGHWAY 17
YULEE, FL
32097-2845

Practice Phone: 904-225-3824
Practice Fax: 904-390-7440

1023076098 — JIMMIE STONE PA-C
Practice Location Address:

851042 US HIGHWAY 17
YULEE, FL
32097-2845

Practice Phone: 904-633-0670
Practice Fax:

1518126168 — UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Practice Location Address:

851042 US HIGHWAY 17 , UFJP YULEE FAMILY PRACTICE
YULEE, FL
32097-2845

Practice Phone: 904-633-0670
Practice Fax:

Directions to “ KEVIN MICHAEL DOULENS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.