# KENNEDY MEDICAL GROUP D/B/A KENNEDY HEALTH ALLIANCE

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

## Provider details

- **NPI number:** 1174869150
- **Authorized official:** MRS. KATHERINE SCHLEIDER (CORPORATE DIRECTOR)
- **Authorized official phone:** (856) 783-1987

## Contact information

- **Practice address:** 1001 LAUREL OAK RD, SUITE D1, VOORHEES, NJ 08043-3512
- **Practice address phone:** (856) 783-0191
- **Practice address fax:** (856) 783-0264
- **Mailing address:** 1001 LAUREL OAK RD, SUITE D1, VOORHEES, NJ 08043-3512
- **Mailing address phone:** (856) 783-0191
- **Mailing address fax:** (856) 783-0264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/20/2012
- **Last updated:** 12/20/2012