KENNEDY MEDICAL GROUP D/B/A KENNEDY HEALTH ALLIANCE; NPI #1790120152

Contact Information

KENNEDY MEDICAL GROUP D/B/A KENNEDY HEALTH ALLIANCE

900 NEW JERSEY 168 NORTH
STE. C3
BLACKWOOD, NJ 08012

Phone: 856-374-0430
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for KENNEDY MEDICAL GROUP D/B/A KENNEDY HEALTH ALLIANCE

NPI #	`1790120152`
LBN Legal business name	KENNEDY MEDICAL GROUP D/B/A KENNEDY HEALTH ALLIANCE
Authorized official	KATHERINE SCHLEIDER - (CORPORATE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/30/2013
Last updated	06/20/2013 - About 13 years ago
Identifiers	n/a

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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