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

Kennedy Medical Group Practice, PC

Organization Vascular Surgery Physician · NPI 1629343421

Kennedy Medical Group Practice, PC is a Vascular Surgery Physician in Sewell, New Jersey. Licensed in New Jersey. Registered with an NPI since 2012.

Licensed in
NJ
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

543 Egg Harbor Rd
Sewell, NJ 08080-2335
Phone: (856) 256-2063
Fax: (856) 256-2064
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 25MA09025500 (NJ)

Record details

NPI number1629343421
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKennedy Memorial Hospital University Medical Center Inc
Authorized official Katherine Katherine — Vp Clinical Integration · (856) 783-1982
Other names Kennedy Health Alliance
NPI enumeratedMarch 13, 2012
Last updated in NPPESJune 18, 2014
Mailing address205 E Laurel Rd, 2nd Floor, Stratford, NJ 08084-1301

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