MEDICARE: KADDS WELLNESS, LLC

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
1	363LF0000X	Family Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1770366510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KADDS WELLNESS, LLC

Provider Business Mailing Address
First Line	:	13201 NORHTWEST FREEWAY
Second Line	:	STE 800
City	:	HOUSTON
State	:	TX
Zip	:	77040-6306
Country	:	US
Telephone Number	:	601-334-6858
Fax Number	:	346-646-3557

Provider Business Practice Location Address
First Line	:	13201 NORHTWEST FREEWAY
Second Line	:	SUITE# 800
City	:	HOUSTON
State	:	TX
Zip	:	77040-6306
Country	:	US
Telephone Number	:	281-436-9444
Fax Number	:	346-553-8456

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	KEILAH BAKER FORD
Credential	:	FNP-C, PMHNP-BC
Telephone Number	:	601-334-6858

Provider Enumeration Date	:	08/16/2023
Last Update Date	:	02/23/2026

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Directions to “KADDS WELLNESS, LLC ” Practice Location

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