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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 P.C.

NPI Number 1437693421
LBN Legal business name KENNEDY MEDICAL GROUP PRACTICE P.C.
Authorized official CARMAN CIERVO - (CPE)
Entity Organization
Organization subpart 1 No
Enumeration date 12/09/2016
Last updated 12/09/2016 - About 9 years ago
Identifiers
NJ Medicaid 0411248
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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