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Contact Information

KUNTA KENNEDY
2024 W OGLETHORPE AVE APT 15
ALBANY, GA31707-4162
 Phone: 229-291-8311
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Driver

172A00000X
 

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for KUNTA KENNEDY · (Male)

NPI Number 1295513232
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2023
Last updated 09/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 047597856
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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