Provider Demographics
NPI:1649087669
Name:NKAMEN HEALTHCARE
Entity type:Organization
Organization Name:NKAMEN HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KEMGUE
Authorized Official - Suffix:
Authorized Official - Credentials:SK
Authorized Official - Phone:240-505-4326
Mailing Address - Street 1:9923 GOOD LUCK RD APT 101
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3255
Mailing Address - Country:US
Mailing Address - Phone:240-262-4918
Mailing Address - Fax:
Practice Address - Street 1:9923 GOOD LUCK RD APT 101
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3255
Practice Address - Country:US
Practice Address - Phone:240-262-4918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty