Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kennedy Anice Wilson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1437888294

Kennedy Anice Wilson is a Student in an Organized Health Care Education/Training Program in Fremont, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

3300 Capitol Ave
Fremont, CA 94538-1514
Phone: (510) 574-2032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1437888294
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2022
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024

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