Kenisha Tedra King
NPI #1083582720 in Massapequa, New York
Provider Information
- NPI Number
- 1083582720
- Entity Type
- Individual
- Name
- Kenisha Tedra King
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Enumeration Date
- Oct 24, 2025
- Last Updated
- Oct 30, 2025
Practice Location
- Address
- 23 SOLOFF RD
- City
- Massapequa
- State
- New York
- ZIP Code
- 11758-3738
- Phone
- (813) 765-8552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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