Organization
KENNEDY MEDICAL GROUP D/B/A KENNEDY HEALTH ALLIANCE
Active
Other names
Kennedy Health Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE SCHLEIDER (VICE PRESIDENT - CLINICAL INTEGRATI)
(856) 783-1892
Entity
Organization
Contact information
Practice address
1A REGULUS DRIVE, TURNERSVILLE, NJ 08012
(856) 256-7513
Mailing address
1A REGULUS DRIVE, TURNERSVILLE, NJ 08012
(856) 256-7513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255220
—
NJ
Enumeration date
11/14/2013
Last updated
11/27/2013
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