K&I HEALTHCARE SERVICES NPI 1407409477

NPI Information

  • NPI: 1407409477
  • Provider Name: K&I HEALTHCARE SERVICES
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 11637 TERRACE DR STE 201
    WALDORF, MD
    ZIP 20602
  • Phone: (240) 419-3803

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NPI Details

K&I HEALTHCARE SERVICES is a mental health (including community mental health center) clinic center in Waldorf, MD. K&I HEALTHCARE SERVICES NPI is 1407409477. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11637 TERRACE DR STE 201
WALDORF, MD
ZIP 20602-708
Phone: (240) 419-3803
Fax: (240) 419-2931

The provider's authorized official is Kelvinda Kamara .
The authorized official title is Nurse Practitioner and has the following contact phone number (240) 619-9180.

The enumeration date for this NPI number is 7/18/2019 and was last updated on 7/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
32084P0800XPsychiatry & NeurologyPsychiatryNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11851641955OTHERNPI
2059076500MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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