Provider Demographics
NPI:1003792342
Name:DE ALMEIDA MEDEIROS, KAYO AUGUSTO (MD)
Entity type:Individual
Prefix:
First Name:KAYO AUGUSTO
Middle Name:
Last Name:DE ALMEIDA MEDEIROS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 WASHBURN AVE APT 61
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-6779
Mailing Address - Country:US
Mailing Address - Phone:502-296-5208
Mailing Address - Fax:
Practice Address - Street 1:225 ABRAHAM FLEXNER WAY STE 850
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1858
Practice Address - Country:US
Practice Address - Phone:502-562-0312
Practice Address - Fax:502-562-0326
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYFT880207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery