Healthcare Provider Details

I. General information

NPI: 1134832645
Provider Name (Legal Business Name): KAMSI HEALTHCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2022
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 E DUBLIN GRANVILLE RD STE 300KK
COLUMBUS OH
43231-4094
US

IV. Provider business mailing address

2700 E DUBLIN GRANVILLE RD STE 300KK
COLUMBUS OH
43231-4094
US

V. Phone/Fax

Practice location:
  • Phone: 614-284-3446
  • Fax: 614-633-1534
Mailing address:
  • Phone: 614-284-3446
  • Fax: 614-633-1534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: KENNETH IWUAFOR
Title or Position: CEO/PROVIDER
Credential: PA-C, CAQ-PSYCH
Phone: 614-284-3446