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

Kenneth Wakwe

Individual provider Physician Assistant · NPI 1285284877

Kenneth Wakwe is a Physician Assistant in Boston, Massachusetts. Qualified in 2019, 7 years ago. Practices with Community Medical Associates, Inc, a 152-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone: (617) 414-5481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1285284877
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2019
Last updated in NPPESOctober 30, 2019
Mailing address1 Boston Medical Ctr Pl, Boston, MA 02118-2908

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Community Medical Associates, Inc. — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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