Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kennedy Medical Group Practice, PC

Organization Family Medicine Physician · NPI 1427350040

Kennedy Medical Group Practice, PC is a Family Medicine Physician in Marlton, New Jersey. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

73 N Maple Ave Ste B
Marlton, NJ 08053-1782
Phone: (856) 596-0558
Fax: (856) 596-4043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Gastroenterology Physician Taxonomy 207RG0100X
Neurology Physician Taxonomy 2084N0400X

Record details

NPI number1427350040
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKennedy University Hospital
Authorized official Carman Ciervo — Ceo · (856) 783-1987
NPI enumeratedDecember 2, 2010
Last updated in NPPESOctober 19, 2017
Mailing address333 Laurel Oak Rd, Voorhees, NJ 08043-4453

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