Provider Demographics
NPI:1134832645
Name:KAMSI HEALTHCARE CORPORATION
Entity type:Organization
Organization Name:KAMSI HEALTHCARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:IWUAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C, CAQ-PSYCH
Authorized Official - Phone:614-284-3446
Mailing Address - Street 1:2700 E DUBLIN GRANVILLE RD STE 300KK
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4094
Mailing Address - Country:US
Mailing Address - Phone:614-284-3446
Mailing Address - Fax:614-633-1534
Practice Address - Street 1:2700 E DUBLIN GRANVILLE RD STE 300KK
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4094
Practice Address - Country:US
Practice Address - Phone:614-284-3446
Practice Address - Fax:614-633-1534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-29
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Multi-Specialty
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0168150Medicaid