Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAIROS CLINIC
NPI 1962276782
Clinic/Center in Peru, IN

Active since November 13, 2023
214 N. GRANT STREET, PERU, IN 46970(765) 460-4345(765) 460-4344 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kairos Clinic NPPES

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

KAIROS CLINIC (NPI 1962276782) is a healthcare organization registered as a clinic/center in Peru, Indiana and active in the NPI registry since November 2023. The organization lists Lynette Smith- Caillouet, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1962276782
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKAIROS CLINIC
Location Address214 N. GRANT STREETPeru, IN 46970-1618
Mailing Address214 N. Grant StreetPeru, IN 46970-1618 · (765) 460-4345 · Fax (765) 460-4344
Fax(765) 460-4344
Organization SubpartNo
Authorized OfficialLynette Smith- CaillouetOwner/manager · (765) 460-4345
Enumeration DateNovember 13, 2023
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
NPI 1962276782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
214 N. GRANT STREET, Peru, IN 46970

Other Identifiers 1

Medicaid300092243IN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kairos Clinic's NPI number?

The NPI number for Kairos Clinic is 1962276782. It was assigned to this organization in the NPPES registry on November 13, 2023.

Where is Kairos Clinic located?

Kairos Clinic is located at 214 N. Grant Street, Peru, IN 46970. The listed phone number is (765) 460-4345.

What is Kairos Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Kairos Clinic was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.