Healthcare Provider Details

I. General information

NPI: 1841109519
Provider Name (Legal Business Name): KINN HEALTH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 CHAPMAN RD STE 201A
NEWARK DE
19702-5491
US

IV. Provider business mailing address

226 ACADEMY LN
MIDDLETOWN DE
19709-3069
US

V. Phone/Fax

Practice location:
  • Phone: 302-898-7132
  • Fax:
Mailing address:
  • Phone: 302-898-7132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN B KABURIA
Title or Position: CEO
Credential: PMHNP
Phone: 302-898-7132