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Organization
KENAH ONE HEALTH CARE SERVICES, LLC
Active
Organization
KENAH ONE HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KULVINDER SINGH BASRA (OFFICE MANAGER)
(240) 949-4886
Entity
Organization
Contact information
Practice address
7310 RITCHIE HWY STE 612, GLEN BURNIE, MD 21061-3291
(443) 491-7854
(443) 288-4808
Mailing address
7735 HOLLINS CHAPEL CT, GLEN BURNIE, MD 21060-8396
(443) 491-7854
(443) 288-4808
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
NULL
103TR0400X
Rehabilitation Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
02/18/2025
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