KENNEDY MEDICAL GROUP D/B/A KENNEDY HEALTH ALLIANCE - NPI 1790120152

Q: What is Kennedy Medical Group D/B/A Kennedy Health Alliance's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

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About Kennedy Medical Group D/b/a Kennedy Health Alliance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY MEDICAL GROUP D/B/A KENNEDY HEALTH ALLIANCE (NPI 1790120152) is a healthcare organization registered as a medical in Blackwood, New Jersey and active in the NPI registry since April 2013. The organization lists Katherine Schleider, Corporate Director, as its authorized official.

NPPES Registry Identity

NPI1790120152

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameKENNEDY MEDICAL GROUP D/B/A KENNEDY HEALTH ALLIANCE

Location Address900 NEW JERSEY 168 NORTH, STE. C3Blackwood, NJ 08012

Mailing Address900 New Jersey 168 North, Ste. C3Blackwood, NJ 08012 · (856) 374-0430

Phone(856) 374-0430

Organization SubpartNo

Authorized OfficialKatherine SchleiderCorporate Director · (856) 783-1987

Enumeration DateApril 30, 2013

Last NPPES UpdateJune 20, 2013

✔ NPI 1790120152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

900 NEW JERSEY 168 NORTH, Blackwood, NJ 08012

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Medical Group D/B/A Kennedy Health Alliance's NPI number?

The NPI number for Kennedy Medical Group D/B/A Kennedy Health Alliance is 1790120152. It was assigned to this organization in the NPPES registry on April 30, 2013.

Where is Kennedy Medical Group D/B/A Kennedy Health Alliance located?

Kennedy Medical Group D/B/A Kennedy Health Alliance is located at 900 New Jersey 168 North Ste. C3, Blackwood, NJ 08012. The listed phone number is (856) 374-0430.

What is Kennedy Medical Group D/B/A Kennedy Health Alliance's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kennedy Medical Group D/B/A Kennedy Health Alliance was last updated on June 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.