Active NPIIndividual providerSole proprietor

Wakia S Kennedy

Driver in Newark, New Jersey

NPI Number1063211936
Practice location
751 Dr Martin Luther King Jr Blvd Apt 107, Newark, NJ 07102-1095
Fax
—
Last updated
March 12, 2025

Wakia S Kennedy is a Driver based in Newark, NJ. Wakia S Kennedy practices in Newark, NJ. The NPI Number for Wakia S Kennedy is 1063211936 and holds a License No. K25577758253802 (NJ). The current practice location address for Wakia S Kennedy is 751 Dr Martin Luther King Jr Blvd Apt 107, Newark, NJ 07102-1095 and can be reached out via phone at 908-696-3487.

Provider Profile Details

NPI Number
1063211936
Provider Name
Wakia S Kennedy
Provider Entity Type
Individual
Gender
Female
Address
751 Dr Martin Luther King Jr Blvd Apt 107, Newark, NJ 07102-1095
Phone Number
908-696-3487
Primary Taxonomy
Driver · 172A00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 12, 2025
Last Update Date
March 12, 2025
Certification Date
March 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
751 Dr Martin Luther King Jr Blvd Apt 107
Newark, NJ 07102-1095
City
Newark
Zip
07102-1095
Phone Number
908-696-3487
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
751 Dr Martin Luther King Jr Blvd Apt 107
Newark, NJ 07102-1095
City
Newark
State
NJ
Zip
07102-1095
Phone Number
908-696-3487

License Information

License Number
K25577758253802
License State
NJ
Taxonomy
Driver · 172A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wakia S Kennedy?

The NPI number of Wakia S Kennedy is 1063211936. It was assigned on March 12, 2025 and is currently active in the NPPES registry.

What is the specialty of Wakia S Kennedy?

Wakia S Kennedy is registered under the primary taxonomy Driver (code 172A00000X), licensed in NJ under license number K25577758253802.

Where does Wakia S Kennedy practice?

The practice location is 751 Dr Martin Luther King Jr Blvd Apt 107, Newark, NJ 07102-1095. The office can be reached at 908-696-3487 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063211936 directly on the NPPES registry website.

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