Kennedy Medical Group D/B/a Kennedy Health Alliance

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

KENNEDY MEDICAL GROUP D/B/A KENNEDY HEALTH ALLIANCE

Practice address

1001 Laurel Oak Rd
Suite D1
Voorhees, NJ 08043-3512

Phone

(856) 783-0191

Fax

(856) 783-0264

NPI assigned

Dec 20, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Katherine Schleider

Title

Corporate Director

Phone

(856) 783-1987

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1174869150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LAUREL OAK RD",
            "address_2": "SUITE D1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433512",
            "telephone_number": "856-783-0191",
            "fax_number": "856-783-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LAUREL OAK RD",
            "address_2": "SUITE D1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433512",
            "telephone_number": "856-783-0191",
            "fax_number": "856-783-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY MEDICAL GROUP D/B/A KENNEDY HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "SCHLEIDER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR",
        "authorized_official_telephone_number": "856-783-1987",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Alissa Kelley
• Meghan Kelly
• Michelle Kelly, M.D.
• Riana Caryn Kelly, LPC
• Kennedy Care Center,P.a.
• Kennedy Medical Group P.C.
• Kennedy Medical Group Practice P.C.
• Kennedy Medical Group Practice, P.C.
• Kennedy Medical Group Practice, P.C.
• Kennedy Medical Group Practice, P.C.

• Medical Specialty Clinic/Center in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.