Organization
KENNEDY MEDICAL GROUP PRACTICE P.C.
Active
Other names
Kennedy Health Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KRUM (AVP)
(856) 783-1267
Entity
Organization
Contact information
Practice address
151 FRIES MILL RD, SUITE 301, TURNERSVILLE, NJ 08012-2016
(856) 875-1209
(856) 875-9556
Mailing address
151 FRIES MILL RD, SUITE 301, TURNERSVILLE, NJ 08012-2016
(856) 875-1209
(856) 875-9556
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411248
—
NJ
Enumeration date
04/11/2017
Last updated
04/11/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us