Organization · Type 2 NPI

Kairos Healthcare Services LLC

Psychiatric/Mental Health Nurse Practitioner · Waldorf, MD

NPI number 1063170272 Active

Practice location

11355 Pembrooke Sq Ste 109
Waldorf, MD 20603-4805

Call (240) 544-8190 Map

Fax (240) 200-7862

Mailing address

10601 Birdie Ln
Upper Marlboro, MD 20774-6022

Other practice locations

10432 Balls Ford Rd, Manassas, VA 20109-2514 · (240) 544-8190

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

Other psychiatric/mental health nurse practitioner providers in Waldorf

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NPI record

NPI: 1063170272
Entity type: Organization (Type 2)
Issued: Dec 4, 2021
Last updated: Oct 23, 2026
Status: Active

Other names

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Kairos Healthcare Services · doing business as
Kairos Healthcare Services · doing business as

Authorized official

Ogechukwu I Igbo, NP
Psychiatric Nurse Practitioner
(240) 544-8190

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About NPI 1063170272

Kairos Healthcare Services LLC's National Provider Identifier is 1063170272, issued on Dec 4, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waldorf, MD. The record was last updated on Oct 23, 2026.