KENNEDY HEALTH ALLIANCE – NPI #1073884847
Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
KENNEDY HEALTH ALLIANCE is a surgeon located in VOORHEES TOWNSHIP, NJ. NPPES has assigned the NPI number 1073884847 to KENNEDY HEALTH ALLIANCE on January 25, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KENNEDY HEALTH ALLIANCE” is a dba name, the actual legal business name for this organization is KENNEDY MEDICAL GROUP PRACTICE, P.C.. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery
The NPI profile was previously updated about 11 years ago on Oct 13, 2015. 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 HEALTH ALLIANCE below.
NPI Profile for
KENNEDY MEDICAL GROUP PRACTICE, P.C.
(more than 14 years ago)
VOORHEES TOWNSHIP, NJ 08043-4453 Phone: (856) 783-0191 Fax: (856) 783-0264
VP CLINICAL INTEGRATION
Phone: (856) 344-7360
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 |
|---|---|---|
| 2086S0129X - Surgery / Vascular Surgery (Primary) |
NJ | 25MA09025500 |
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.