K&I Healthcare Services
Clinic/Center, Mental Health (Including Community Mental Health Center) in Waldorf, MD. Organization (NPI-2).
NPI number1407409477
StatusActive
Last updated in NPPESFeb 22, 2026
Details
- NPI
- 1407409477
- Entity type
- Organization (NPI-2)
- Legal business name
- K&I Healthcare Services
- Organization subpart
- Yes
- Enumeration date
- Jul 18, 2019
- Certification date
- Feb 22, 2026
- Last updated
- Feb 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – |
Practice location
11637 Terrace Dr Ste 201Waldorf, MD 20602-3708
Phone 240-419-3803 · Fax 240-419-2931
Mailing address
11637 Terrace Dr Ste 201Waldorf, MD 20602-3708
Phone 240-419-3803 · Fax 240-667-1712
Authorized official
Kelvinda Kamara
Nurse Practitioner
2404193803
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