NPI 1063211936

Wakia S Kennedy

Practitioner Driver Newark, NJ

Practice location

Address: 751 Dr Martin Luther King Jr Blvd APT 107, Newark, NJ 07102-1095
Phone: (908) 696-3487

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence K25577758253802 (NJ)

Other Driver providers in New Jersey →

Registry record

NPI: 1063211936
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2025
Record last updated: 12 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.