# KENAH ONE HEALTH CARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790329530
- **Authorized official:** KULVINDER SINGH BASRA (OFFICE MANAGER)
- **Authorized official phone:** (240) 949-4886

## Contact information

- **Practice address:** 7310 RITCHIE HWY STE 612, GLEN BURNIE, MD 21061-3291
- **Practice address phone:** (443) 491-7854
- **Practice address fax:** (443) 288-4808
- **Mailing address:** 7735 HOLLINS CHAPEL CT, GLEN BURNIE, MD 21060-8396
- **Mailing address phone:** (443) 491-7854
- **Mailing address fax:** (443) 288-4808

## Taxonomy

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

## Other

- **Enumeration date:** 11/05/2019
- **Last updated:** 02/18/2025