# KENNEDY MEDICAL GROUP PRACTICE, P.C. D/B/A KENNEDY HEALTH ALLIANCE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174663470
- **Authorized official:** MRS. KATHERINE SCHLEIDER (VP CLINICAL INTEGRATION)
- **Authorized official phone:** (856) 344-7360

## Contact information

- **Practice address:** 25 E LAUREL RD, STRATFORD, NJ 08084-1322
- **Practice address phone:** (856) 783-2244
- **Practice address fax:** (856) 783-8537
- **Mailing address:** 333 LAUREL OAK RD, VOORHEES, NJ 08043-4453
- **Mailing address phone:** (856) 783-2244
- **Mailing address fax:** (856) 783-8537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 05/28/2020