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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, P.C.D/B/A KENNEDY HEALTH ALLIANCE

NPI # 1154347367
LBN Legal business name KENNEDY MEDICAL GROUP PRACTICE, P.C.D/B/A KENNEDY HEALTH ALLIANCE
Authorized official DEBBIE O'NEIL - (CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 07/14/2006
Last updated 03/27/2015 - About 11 years ago
Identifiers
NJ Medicaid 7650001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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