# KENNEDY MEDICAL GROUP PRACTICE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KENNEDY MEMORIAL HOSPITAL UNIVERSITY MEDICAL CENTER INC.
- **Other names:** Kennedy Health Alliance
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073884847
- **Legal business name:** KENNEDY MEMORIAL HOSPITAL UNIVERSITY MEDICAL CENTER INC.
- **Authorized official:** KATHY SCHLEIDER (VP CLINICAL INTEGRATION)
- **Authorized official phone:** (856) 344-7360

## Contact information

- **Practice address:** 333 LAUREL OAK RD, VOORHEES, NJ 08043-4453
- **Practice address phone:** (856) 783-0191
- **Practice address fax:** (856) 783-0264
- **Mailing address:** 333 LAUREL OAK RD, VOORHEES, NJ 08043-4453
- **Mailing address phone:** (856) 783-0191
- **Mailing address fax:** (856) 783-0264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 25MA09025500 | NJ | Yes |

## Other

- **Enumeration date:** 01/25/2012
- **Last updated:** 10/13/2015
