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General NPI Number Information
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NPI Number | 1770366510
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Entity Type | Organization
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Legal Business Name | KADDS WELLNESS, LLC
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 13201 NORHTWEST FREEWAY SUITE# 800
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City | HOUSTON
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State | TX
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Zip | 77040-6306
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Country | US
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Telephone | 281-436-9444
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Fax | 346-553-8456
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Provider Business Mailing Address
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Address Line | 13201 NORHTWEST FREEWAY STE 800
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City | HOUSTON
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State | TX
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Zip | 77040-6306
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Country | US
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Telephone | 601-334-6858
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Fax | 346-646-3557
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | KEILAH BAKER FORD
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Credential | FNP-C, PMHNP-BC
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Telephone | 601-334-6858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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