# 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:** 1629343421
- **Legal business name:** KENNEDY MEMORIAL HOSPITAL UNIVERSITY MEDICAL CENTER INC.
- **Authorized official:** KATHERINE KATHERINE (VP CLINICAL INTEGRATION)
- **Authorized official phone:** (856) 783-1982

## Contact information

- **Practice address:** 543 EGG HARBOR ROAD, SEWELL, NJ 08080-2335
- **Practice address phone:** (856) 256-2063
- **Practice address fax:** (856) 256-2064
- **Mailing address:** 205 E LAUREL RD, 2ND FLOOR, STRATFORD, NJ 08084-1301
- **Mailing address phone:** (856) 783-1892
- **Mailing address fax:** (856) 783-1403

## Taxonomy

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

## Other

- **Enumeration date:** 03/13/2012
- **Last updated:** 06/18/2014