KEVIN DOU
NPI 1700469608
Student in an Organized Health Care Education/Training Program in Jackson, MI

Q: What is Kevin Dou's NPI number?

The NPI number for Kevin Dou is 1700469608. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Q: What is Kevin Dou's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Dou was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 29, 2021PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin Dou NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN DOU (NPI 1700469608) is an individual student in an organized health care education/training program in Jackson, Michigan and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700469608

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKEVIN DOU

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address1549 Foster RdIowa City, IA 52245-1647

Phone(517) 205-4800

Sole ProprietorNo

Enumeration DateApril 29, 2021

NPPES CertifiedApril 29, 2021

✔ NPI 1700469608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

205 N EAST AVE, Jackson, MI 49201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Dou is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA RENE DANEK PA-C

Physician Assistant