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Contact Information

KENNEDY MEDICAL GROUP PRACTICE, P.C.D/B/A KENNEDY HEALTH ALLIANCE
151 FRIES MILL RD
SUITE 400
TURNERSVILLE, NJ08012
 Phone: 856-401-9300
 Fax: 856-374-5805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KENNEDY MEDICAL GROUP PRACTICE PCDBA KENNEDY HEALTH ALLIANCE · (Female)

NPI Number 1154347367
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2006
Last updated 03/27/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ Medicaid 7650001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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