# KENNEDY MEDICAL GROUP PRACTICE P.C.

> 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
- **Other names:** Kennedy Health Alliance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598203267
- **Authorized official:** CARMAN A CIERVO D.O. (CPE)
- **Authorized official phone:** (856) 344-7360

## Contact information

- **Practice address:** 151 FRIES MILL RD, SUITE 100, TURNERSVILLE, NJ 08012-2016
- **Practice address phone:** (856) 566-3190
- **Mailing address:** 151 FRIES MILL RD, SUITE 100, TURNERSVILLE, NJ 08012-2016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

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