Individual
WAKIA S KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
751 DR MARTIN LUTHER KING JR BLVD APT 107, NEWARK, NJ 07102-1095
(908) 696-3487
Mailing address
751 DR MARTIN LUTHER KING JR BLVD APT 107, NEWARK, NJ 07102-1095
(908) 696-3487
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
K25577758253802
NJ
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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