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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245942739

Kernisha Otway is a Student in an Organized Health Care Education/Training Program in Far Rockaway, New York. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

694 Beach 20th St
Far Rockaway, NY 11691-3502
Phone: (718) 945-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245942739
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 16, 2022
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025

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