Organization
KENAH ONE HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETTY NGONA CRNP, PMH-BC (PROGRAM DIRECTOR)
(667) 232-1220
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
(667) 232-1220
(443) 288-4808
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
950021900
—
MD
Enumeration date
04/27/2020
Last updated
07/15/2025
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