| Knk Mental Health Services Llc | |
|
9814 Pheasant Run Ct Laurel MD 20708-3192 | |
| (240) 855-6293 | |
| Not Available |
| Full Name | Knk Mental Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9814 Pheasant Run Ct, Laurel, Maryland |
| Authorized Official Name and Position | Martin Nzefeh (PROVIDER) |
| Authorized Official Contact | 2408556293 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knk Mental Health Services Llc 9814 Pheasant Run Ct Laurel MD 20708-3192 Ph: (240) 855-6293 | Knk Mental Health Services Llc 9814 Pheasant Run Ct Laurel MD 20708-3192 Ph: (240) 855-6293 |
| NPI Number | 1285378281 |
|---|---|
| Provider Enumeration Date | 04/25/2022 |
| Last Update Date | 04/25/2022 |
| Certification Date | 04/25/2022 |
| Medicare PECOS PAC ID | 6507234465 |
|---|---|
| Medicare Enrollment ID | O20221126000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285378281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Martin N Nzefeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427317080 PECOS PAC ID: 6608278064 Enrollment ID: I20220711000373 |
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