KENNEDY MEDICAL GROUP PRACTICE P.C. NPI 1952615981

NPI Information

  • NPI: 1952615981
  • Provider Name: KENNEDY MEDICAL GROUP PRACTICE P.C.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: KENNEDY HEALTH ALLIANCE
  • Address: 165 PRINCETON AVE
    WEST DEPTFORD
    WEST DEPTFORD, NJ
    ZIP 08096
  • Phone: (856) 384-0210

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NPI Details

KENNEDY MEDICAL GROUP PRACTICE P.C. is a family medicine in West Deptford, 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 MEDICAL GROUP PRACTICE P.C. NPI is 1952615981. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kennedy Health Alliance.

The provider's business location address is:

165 PRINCETON AVE
WEST DEPTFORD
WEST DEPTFORD, NJ
ZIP 08096-123
Phone: (856) 384-0210
Fax: (856) 384-0218

The provider's authorized official is Katherine Schleider .
The authorized official title is Vp Clinical Integration and has the following contact phone number (856) 783-1892.

The enumeration date for this NPI number is 8/2/2010 and was last updated on 7/10/2014.

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 Medicine25MB08173000NEW JERSEYYes

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: 11/21/2025

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