OrganizationKennedy Medical Group Practice, P.C.(<Unavail>)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address333 Laurel Oak Rd, Voorhees, NJ 08043-4453(844) 542-2273PECOS EnrollmentBased on the most recent information from CMS, provider Kennedy Medical Group Practice, P.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1811267693Provider TypeOrganizationFull NameKennedy Medical Group Practice, P.C.Other Name<Unavail>SubpartYesEnumeration Date1/10/2012Last Updated10/13/2015Contact InformationPractice LocationPractice Address333 Laurel Oak Rd, Voorhees, NJ 08043-4453Phone(844) 542-2273Fax(856) 770-9194Mailing LocationMailing Address333 Laurel Oak Rd, Voorhees, NJ 08043-4453Phone(844) 542-2273Fax(856) 770-9194Authorized OfficialNameSchleider, Kathy (Vp Clinical Integration)Phone(856) 344-7360Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense25 MB08832100New Jersey