# KAIROS HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kairos Healthcare Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063170272
- **Authorized official:** OGECHUKWU I IGBO NP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (240) 544-8190

## Contact information

- **Practice address:** 10601 BIRDIE LN, UPPER MARLBORO, MD 20774-6022
- **Practice address phone:** (240) 544-8190
- **Practice address fax:** (240) 200-7862
- **Mailing address:** 10601 BIRDIE LN, UPPER MARLBORO, MD 20774-6022
- **Mailing address phone:** (240) 544-8190
- **Mailing address fax:** (240) 200-7862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2021
- **Last updated:** 09/09/2024