Kennedy Medical Group D/B/A Kennedy Health Alliance
Physician Assistant, Medical in Blackwood, New Jersey
1790120152- Practice location
- 900 New Jersey 168 North, Ste. C3, Blackwood, NJ 08012
- Phone
- 856-374-0430
- Fax
- —
- Last updated
- June 20, 2013
Kennedy Medical Group D/B/A Kennedy Health Alliance is a healthcare organization based in Blackwood, NJ. Kennedy Medical Group D/B/A Kennedy Health Alliance practices in Blackwood, NJ. The NPI Number for Kennedy Medical Group D/B/A Kennedy Health Alliance is 1790120152. The current practice location address for Kennedy Medical Group D/B/A Kennedy Health Alliance is 900 New Jersey 168 North, Ste. C3, Blackwood, NJ 08012 and can be reached out via phone at 856-374-0430.
Provider Profile Details
- NPI Number
- 1790120152
- Provider Name
- Kennedy Medical Group D/B/A Kennedy Health Alliance
- Provider Entity Type
- Organization
- Address
- 900 New Jersey 168 North, Ste. C3, Blackwood, NJ 08012
- Phone Number
- 856-374-0430
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Organization Subpart
- No
- Authorized Official
- Mrs. Katherine Schleider · Corporate Director · 856-783-1987
- Provider Enumeration Date
- April 30, 2013
- Last Update Date
- June 20, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 900 New Jersey 168 North
Ste. C3
Blackwood, NJ 08012 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012
- Phone Number
- 856-374-0430
Provider Business Mailing Address Details
- Address
- 900 New Jersey 168 North
Ste. C3
Blackwood, NJ 08012 - City
- Blackwood
- State
- NJ
- Zip
- 08012
- Phone Number
- 856-374-0430
License Information
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kennedy Medical Group D/B/A Kennedy Health Alliance?
The NPI number of Kennedy Medical Group D/B/A Kennedy Health Alliance is 1790120152. It was assigned on April 30, 2013 and is currently active in the NPPES registry.
What is the specialty of Kennedy Medical Group D/B/A Kennedy Health Alliance?
Kennedy Medical Group D/B/A Kennedy Health Alliance is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X).
Where does Kennedy Medical Group D/B/A Kennedy Health Alliance practice?
The practice location is 900 New Jersey 168 North, Ste. C3, Blackwood, NJ 08012. The office can be reached at 856-374-0430 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790120152 directly on the NPPES registry website.