Organization
KENNEDY MEDICAL GROUP PRACTICE, P.C. D/B/A KENNEDY HEALTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE SCHLEIDER (VP CLINICAL INTEGRATION)
(856) 783-1987
Entity
Organization
Contact information
Practice address
333 LAUREL OAK RD, VOORHEES, NJ 08043-4453
(856) 783-1987
Mailing address
333 LAUREL OAK RD, 1099 WHITE HORSE RD, VOORHEES, NJ 08043-4453
(856) 783-1987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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