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Contact Information

KENNEDY MEDICAL GROUP PRACTICE P.C.
1305 KINGS HWY N
N#4
CHERRY HILL, NJ08034-1919
 Phone: 844-542-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for KENNEDY MEDICAL GROUP PRACTICE PC · (Female)

NPI Number 1437693421
Status Active
Credentials
Entity Individual
Enumeration date 12/09/2016
Last updated 12/09/2016 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ Medicaid 0411248
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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