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Kezia Wallerson
NPI 1831041730 · on the registry since 2026 · sole proprietor
Practice
- Address
- 25 High St Apt C1
Montclair, NJ 07042 - Phone
- (315) 415-7148
- Organisation at this address
- Brightpath Support Services Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 320900000X
320900000X
- Also registered as
- 103TM1800X
133NN1002X
174400000X
174H00000X - Sex
- Female
- Record last updated
- 2026-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey