KENNEDY MEDICAL GROUP PRACTICE, PC – NPI #1982069688
Psychiatry & Neurology

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 PRACTICE, PC is a psychiatry & neurologist located in TURNERSVILLE, NJ. NPPES has assigned the NPI number 1982069688 to KENNEDY MEDICAL GROUP PRACTICE, PC on December 22, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNEDY MEDICAL GROUP PRACTICE, PC below.

NPI Profile for
KENNEDY MEDICAL GROUP PRACTICE, PC

NPI Number
1982069688
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KENNEDY MEDICAL GROUP PRACTICE, PC
Primary location
151 FRIES MILL RD STE 102
TURNERSVILLE, NJ 08012-2056
Phone: (856) 352-6660 Fax: (856) 269-4258
1 Other location(s):
73 N Maple Ave
Ste. B
Marlton, NJ 08053-1782
Phone: (856) 783-1987
Fax: (856) 783-1403
Mailing address
333 LAUREL OAK RD
VOORHEES, NJ 08043-4453
Phone: (856) 783-1987 Fax: (856) 783-1403
Organization Subpart
No
Authorized Official
CARMAN CIERVO
CEO
Phone: (856) 783-1987
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.