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NPI Code Detail

MEDICARE: KENNEDY UNIVERSITY HOSPITAL INC

MEDICARE: KENNEDY UNIVERSITY HOSPITAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand AmbulanceKENN00301NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457330672
Entity Type Code : Organization
Provider Name (Legal Business Name) : KENNEDY UNIVERSITY HOSPITAL INC
Provider Business Mailing Address
First Line : PO BOX 13704
Second Line : 30TH STREET STATION
City : PHILADELPHIA
State : PA
Zip : 19101-3704
Country : US
Telephone Number : 856-782-9064
Fax Number : 856-782-9068
Provider Business Practice Location Address
First Line : 140 WALNUT AVE
Second Line :
City : LINDENWOLD
State : NJ
Zip : 08021-7555
Country : US
Telephone Number : 856-782-9064
Fax Number : 856-782-9068
Authorized Official
Title or Position : DIRECTOR
Name : RONALD A FORSYTH
Credential :
Telephone Number : 856-627-5409
Provider Enumeration Date : 01/16/2006
Last Update Date : 04/01/2013

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Directions to “KENNEDY UNIVERSITY HOSPITAL INC ” Practice Location

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