KENNEDY MEDICAL GROUP NPI 1083985857

NPI Information

  • NPI: 1083985857
  • Provider Name: KENNEDY MEDICAL GROUP
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Doing Business As: KENNEDY HEALTH ALLIANCE
  • CLIA Number: 31D2019123
  • Address: 73 N MAPLE AVE
    MARLTON, NJ
    ZIP 08053
  • Phone: (856) 596-0558

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NPI Details

KENNEDY MEDICAL GROUP is a neurology psychiatry neurology in Marlton, NJ. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. KENNEDY MEDICAL GROUP NPI is 1083985857. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kennedy Health Alliance.

The provider's business location address is:

73 N MAPLE AVE
MARLTON, NJ
ZIP 08053-782
Phone: (856) 596-0558
Fax: (856) 596-4043

The provider's authorized official is Kathy Schleider .
The authorized official title is Director, Physician Integration and has the following contact phone number (856) 783-1892.

The CLIA number assigned to this NPI record is 31D2019123 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2012 and was last updated on 8/19/2013.

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
12084N0400XPsychiatry & NeurologyNeurology25MB04815900NEW JERSEYYes

What is NPI?

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This page was last updated on: 11/21/2025

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