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
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
02/18/2025
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