| Kairos Wellness Initiative | |
|
3000 Bethesda Pl Ste 202 Winston Salem NC 27103-3324 | |
| (336) 293-4107 | |
| (949) 577-4324 |
| Full Name | Kairos Wellness Initiative |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3000 Bethesda Pl Ste 202, Winston Salem, North Carolina |
| Authorized Official Name and Position | Obinna Ikwechegh (OWNER) |
| Authorized Official Contact | 3362934107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kairos Wellness Initiative 3000 Bethesda Pl Ste 104 Winston Salem NC 27103-3323 Ph: (336) 293-4107 | Kairos Wellness Initiative 3000 Bethesda Pl Ste 202 Winston Salem NC 27103-3324 Ph: (336) 293-4107 |
| NPI Number | 1417620527 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 07/26/2021 |
| Certification Date | 07/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417620527 | NPI | - | NPPES |
| 1790385326 | Other | NC | LEILONI MULLIGAN |
| 1881108009 | Other | NC | CHUE BLACK |
| 1952582967 | Other | NC | OBINNA IKWECHEGH |
| 1346268745 | Other | NC | CHARLES DUNHAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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