Kunta Kennedy
Driver in Albany, GA. Individual provider (NPI-1).
NPI number1295513232
StatusActive
Last updated in NPPESSep 20, 2023
Details
- NPI
- 1295513232
- Entity type
- Individual (NPI-1)
- Name
- Kunta Kennedy
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2023
- Certification date
- Sep 20, 2023
- Last updated
- Sep 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | 047597856 | GA | Yes |
| 171W00000X | Contractor | 047597856 | GA |
Practice location
2024 W Oglethorpe Ave Apt 15Albany, GA 31707-4162
Phone 229-291-8311
Mailing address
2024 W Oglethorpe Ave Apt 15Albany, GA 31707-4162
Phone 229-291-8311
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