OrganizationKennedy Medical Group Practice, P.C. D/B/A Kennedy Health AllianceFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address333 Laurel Oak Rd, Voorhees, NJ 08043-4453(856) 783-1987PECOS EnrollmentBased on the most recent information from CMS, provider Kennedy Medical Group Practice, P.C. D/B/A Kennedy Health Alliance 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 ID1952786337Provider TypeOrganizationFull NameKennedy Medical Group Practice, P.C. D/B/A Kennedy Health AllianceSubpartNoEnumeration Date7/27/2015Last Updated7/27/2015Contact InformationPractice LocationPractice Address333 Laurel Oak Rd, Voorhees, NJ 08043-4453Phone(856) 783-1987FaxUnlisted FaxMailing LocationMailing Address333 Laurel Oak Rd, 1099 White Horse Rd, Voorhees, NJ 08043-4453Phone(856) 783-1987FaxUnlisted FaxAuthorized OfficialNameSchleider, Katherine (Vp Clinical Integration)Phone(856) 783-1987Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207RE0101XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208G00000XDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicenseUnlisted Issuer