# KENNEDY MEDICAL GROUP PRACTICE P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kennedy Health Alliance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023374766
- **Authorized official:** KATHERINE SCHLEIDER (VP CLINICAL INTEGRATION)
- **Authorized official phone:** (856) 783-1892

## Contact information

- **Practice address:** 1300 LIBERTY PL, SICKLERVILLE, NJ 08081-5710
- **Practice address phone:** (856) 262-8100
- **Practice address fax:** (856) 885-6863
- **Mailing address:** 205 E LAUREL RD, STRATFORD, NJ 08084-1301
- **Mailing address phone:** (856) 783-1892
- **Mailing address fax:** (856) 783-1403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2012
- **Last updated:** 06/24/2014