Healthcare Provider Details

I. General information

NPI: 1750211132
Provider Name (Legal Business Name): KAYCARE WELLNESS & PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11805 FLORA LN
BOWIE MD
20721-1970
US

IV. Provider business mailing address

11805 FLORA LN
BOWIE MD
20721-1970
US

V. Phone/Fax

Practice location:
  • Phone: 202-271-8330
  • Fax:
Mailing address:
  • Phone: 202-271-8330
  • 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: KAYON CAMPBELL
Title or Position: CEO/OWNER
Credential: APRN
Phone: 202-271-8330