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KENNEDY CARE CENTERP.A. NPI 1184761850


NPI Information

NPI: 1184761850
Provider Name: KENNEDY CARE CENTER,P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
705 WHITE HORSE RD
SUITE D-102
VOORHEES, NJ
ZIP 08043
Phone: (856) 783-0695
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KENNEDY CARE CENTER,P.A. is a family medicine in Voorhees, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KENNEDY CARE CENTER,P.A. NPI is 1184761850. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

705 WHITE HORSE RD
SUITE D-102
VOORHEES, NJ
ZIP 08043-468
Phone: (856) 783-0695
Fax: (856) 783-8083

The provider's authorized official is Jeffrey Leitman .
The authorized official title is President and has the following contact phone number (856) 783-0695.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 10/3/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMB31922NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1139335A4KMEDICARE PINNEW JERSEY
2E79633MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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