| NPI | 1669847646 |
|---|---|
| Doing Business As | KENNEDY HEALTH ALLIANCE |
| Entity Type | Organization |
| Authorized Contact | CARMAN CIERVO Cpe 856-344-7360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0100X Internal Medicine, Gastroenterology | |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2022-07-21 |