Kajo Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20222 Issued in AL

Legal business name

KAJO MEDICAL PC

Practice address

2828 Highway 31 S Ste 116
Decatur, AL 35603-1538

Phone

(256) 340-1500

Fax

(256) 340-1566

NPI assigned

Oct 28, 2015

Last updated

Jul 1, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kathleen Margaret Dupper, MDNPI 1023184017

Title

President

Phone

(256) 340-1500

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen M Dupper, MD

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1023184017
  NPD Authorized official
• Joseph R Dupper, DPM

  • Podiatrist
  • Decatur, AL
  • NPI 1447326442
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1346612421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 S STE 116",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031538",
            "telephone_number": "256-340-1500",
            "fax_number": "256-340-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 S STE 116",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031538",
            "telephone_number": "256-340-1500",
            "fax_number": "256-340-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAJO MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "DUPPER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-340-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "20222",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Decatur, AL
• Providers in Decatur, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.