Provider Demographics
NPI:1932788619
Name:K&I HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:K&I HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IKECHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:OBIORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-214-3258
Mailing Address - Street 1:11637 TERRACE DR STE 201
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-3708
Mailing Address - Country:US
Mailing Address - Phone:240-419-3803
Mailing Address - Fax:240-419-3803
Practice Address - Street 1:11637 TERRACE DR STE 201
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-3708
Practice Address - Country:US
Practice Address - Phone:240-419-3803
Practice Address - Fax:240-419-2931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health