D/B/A/ Kennedy Health Alliance
LBN: Kennedy Medical Group Practice, P.C.
D/B/A/ Kennedy Health Alliance is an health care organization with primary practice located at 2301 Evesham Road Suite 406, Voorhees NJ 08043. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty.
Kennedy Medical Group Practice, P.C. can be contacted via phone (856) 772-9600, or through Schleider, Katherine via phone (856) 783-1987.
Contact Information
Primary practice address
2301 Evesham Road Suite 406
Voorhees NJ 08043
Phone: (856) 772-9600
Fax: (856) 772-9650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 25MB083854300 | New Jersey |
Profile Details
| NPI number | 1164834297 |
|---|---|
| LBN Legal business name | Kennedy Medical Group Practice, P.C. |
| DBA Doing business as | D/B/A/ Kennedy Health Alliance |
| Authorized official | Schleider, Katherine |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 23rd, 2014 |
| Last updated | May 23rd, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164834297 | NPPES |
| New Jersey | Other | P00633440 | RAILROAD MEDICARE |
| New Jersey | MEDICAID | 3911101 | RAILROAD MEDICARE |
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