KAIMO ENTERPRISES LLC NPI 1215704192

NPI Information

  • NPI: 1215704192
  • Provider Name: KAIMO ENTERPRISES LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: MEDACY HEALTH PRIMARY CARE
  • CLIA Number: 37D2297364
  • Address: 2328 N INTERSTATE DR
    NORMAN, OK
    ZIP 73072
  • Phone: (405) 857-2179

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NPI Details

KAIMO ENTERPRISES LLC is a primary care clinic center in Norman, OK. KAIMO ENTERPRISES LLC NPI is 1215704192. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medacy Health Primary Care.

The provider's business location address is:

2328 N INTERSTATE DR
NORMAN, OK
ZIP 73072-991
Phone: (405) 857-2179
Fax: (405) 310-7677

The provider's authorized official is Morgan Segrest .
The authorized official title is Owner and has the following contact phone number (405) 664-6225.

The CLIA number assigned to this NPI record is 37D2297364 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2023 and was last updated on 1/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261Q00000XClinic/CenterNo
3261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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