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NPI Code Detail

MEDICARE: K&I HEALTHCARE SERVICES

MEDICARE: K&I HEALTHCARE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1003690322
Entity Type Code : Organization
Provider Name (Legal Business Name) : K&I HEALTHCARE SERVICES
Provider Business Mailing Address
First Line : 11637 TERRACE DR STE 201
Second Line :
City : WALDORF
State : MD
Zip : 20602-3708
Country : US
Telephone Number : 240-419-3803
Fax Number : 240-419-2931
Provider Business Practice Location Address
First Line : 4301 GARDEN CITY DR STE 303
Second Line :
City : LANDOVER
State : MD
Zip : 20785-6105
Country : US
Telephone Number : 240-667-1679
Fax Number : 240-667-1712
Authorized Official
Title or Position : CEO
Name : IKECHUKWU OBIORA
Credential : NP
Telephone Number : 240-667-1679
Provider Enumeration Date : 08/21/2023
Last Update Date : 08/21/2023

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Directions to “K&I HEALTHCARE SERVICES ” Practice Location

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