Healthcare Provider Details

I. General information

NPI: 1457107625
Provider Name (Legal Business Name): K&I HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2024
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N CHARLES ST UNIT 804
BALTIMORE MD
21201-5987
US

IV. Provider business mailing address

1800 N CHARLES ST UNIT 804
BALTIMORE MD
21201-5987
US

V. Phone/Fax

Practice location:
  • Phone: 443-873-8479
  • Fax:
Mailing address:
  • Phone: 517-214-3258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: IKECHUKWU OBIORA
Title or Position: CEO
Credential: CRNP
Phone: 240-667-1679