# KENNEDY UNIVERSITY HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kennedy Family Health Services Podiatrist Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568902146
- **Authorized official:** MRS. FELICIA A. NESMITH-CUNNINGHAM (CORPORATE DIRECTOR)
- **Authorized official phone:** (856) 309-7721

## Contact information

- **Practice address:** 1 SOMERDALE SQ, SOMERDALE, NJ 08083-1345
- **Practice address phone:** (856) 309-7700
- **Practice address fax:** (856) 566-8944
- **Mailing address:** 1 SOMERDALE SQ, SOMERDALE, NJ 08083-1345
- **Mailing address phone:** (856) 309-7700
- **Mailing address fax:** (856) 566-8944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NJ | Yes |

## Other

- **Enumeration date:** 03/02/2017
- **Last updated:** 03/02/2017