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

Kennedy Medical Group Practice PC

Organization Family Medicine Physician · NPI 1871039180

Kennedy Medical Group Practice PC is a Family Medicine Physician in Audubon, New Jersey. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
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

100 Black Horse Pike
Audubon, NJ 08106-1950
Phone: (844) 542-2273
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1871039180
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carman Ciervo — Cpe · (856) 344-7360
Other names Kennedy Health Alliance
NPI enumeratedJanuary 10, 2017
Last updated in NPPESJanuary 10, 2017
Mailing address205 E Laurel Rd, Stratford, NJ 08084-1301

Other providers in Audubon