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NPI Code Detail

MEDICARE: KAIROS NOW

MEDICARE: KAIROS NOW
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
1251S00000XCommunity/Behavioral Health Agency
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1417883547
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAIROS NOW
Provider Business Mailing Address
First Line : 12712 ABERDEEN PARK DR
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-2424
Country : US
Telephone Number : 704-327-3373
Fax Number :
Provider Business Practice Location Address
First Line : 12712 ABERDEEN PARK DR
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-2424
Country : US
Telephone Number : 704-327-3373
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CLIFFORD MATTHEWS JR.
Credential : LCSWA
Telephone Number : 704-327-3373
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “KAIROS NOW ” Practice Location

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