MR. LARRY RAY KENNON APRN, BC
NPI 1003803370
Nurse Practitioner - Family in West Plains, MO

Active since October 03, 2005
1137 INDEPENDENCE DR, WEST PLAINS, MO 65775(417) 255-8464 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Larry Ray Kennon Aprn, Bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LARRY RAY KENNON APRN, BC (NPI 1003803370) is an individual family provider in West Plains, Missouri, licensed in Missouri (061052) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1003803370
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. LARRY RAY KENNONCredential: APRN, BC
Location Address1137 INDEPENDENCE DRWest Plains, MO 65775-4221
Mailing Address7232 County Road 9900West Plains, MO 65775-6797 · (417) 255-9233
Sole ProprietorNo
Enumeration DateOctober 3, 2005
Last NPPES UpdateJuly 22, 2013
NPI 1003803370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 061052
1137 INDEPENDENCE DR, West Plains, MO 65775

Other Identifiers 6

Medicare UPIN528423
Medicaid428580211MO
Other261863Medicare Fqhc
Medicare PIN812973700
Other000013700Medicare Group Number
Other261882Medicare Fqhc

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775
Nurse Practitioner (Family)
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775
Counselor (Professional)
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775
Internal Medicine
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775
Clinic/Center (Federally Qualified Health Center (FQHC))
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775
Nurse Practitioner (Family)
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775
Dentist
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775
Social Worker (Clinical)
1137 INDEPENDENCE DR
WEST PLAINS, MO 65775

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Kennon's NPI number?

The NPI number for Larry Kennon is 1003803370. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Larry Kennon located?

Larry Kennon practices at 1137 Independence Dr, West Plains, MO 65775. The listed phone number is (417) 255-8464.

What is Larry Kennon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Larry Kennon was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.