Organization
K&I HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IKECHUKWU OBIORA (CEO)
(240) 419-2931
Entity
Organization
Contact information
Practice address
11637 TERRACE DR STE 201, WALDORF, MD 20602-3708
(240) 419-3803
(240) 419-2931
Mailing address
11637 TERRACE DR STE 201, WALDORF, MD 20602-3708
(240) 419-3803
(240) 419-2931
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/29/2021
Last updated
07/26/2023
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